STATUS EPILEPTICUS IN CEREBRAL
VASCULAR DISORDERS
Kaohsiung
Chang Gung Memorial Hospital, Taiwan-R.O.C.
Cerebral
vascular disorder is one of the most frequent causes of acute symptomatic
epilepticus. The aim of this study was to investigate the prognosis of status
epilepticus in cerebral vascular disorders and the comparison with the status
epilepticus in other etiologies.
56 cases of status epilepticus were admitted to the
neurologic intensive care unit from 1994
to 1999, including 22 male and 34 female patients. Among them, 12 cases
were due to the cerebral vascular disorders, four cases with cerebral
haemorrhage, 6 cases with cerebral infarction. The other two cases were due to
venous infarction in one and the other with A-V malformation. They received
standard valium injection followed with phenytoin. There were two case
refractoy to the above regimen and they received further phenobarbital injection. Afterall, the seizures were
well controlled and there were no mortalities. The other 44 case including 15
antiepileptic drug withdraw, 10 case of CNS infection, 5 case of alcoholism and
some other etiologies. The seizures were poor controlled in the group of the
CNS infection.
Conclusion: Cerebral vascular disorders were common
causes of status epilepticus. The seizure control in this group was no
different in other etiologies and the prognosis of status epilepticus in this
group is good.