Acute acid-base disorders associated with status epilepticus

E. F M Wijdicks, R. D. Hubmayr

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To analyze the acid-base abnormalities in patients with status epilepticus. Design: We retrospectively reviewed the acid-base disturbances in 38 consecutive patients who had been admitted to the emergency department at a Mayo-affiliated hospital because of status epilepticus between 1982 and 1993. Material and Methods: On the basis of results of arterial blood gas analyses, the acid-base disorders were categorized. In addition, chest roentgenograms and electrocardiograms were reviewed for pulmonary infiltrates and cardiac arrhythmias. Results: Arterial blood gas analysis performed immediately after admission revealed an acid-base abnormality in 32 of 38 patients (84%). Respiratory acidosis was most common (N = 16; 42%) and occurred either alone or in combination with metabolic acidosis. Pulmonary infiltrates were not more common in patients with respiratory acidosis than in other patients. Although cardiac arrhythmias were more common in patients with respiratory or metabolic acidosis (42%) than in those with respiratory alkalosis or normal blood gas values (36%), this difference was not statistically significant. Conclusion: We conclude that respiratory acidosis with or without metabolic acidosis is common in patients who have status epilepticus. Respiratory acidosis was not predictive of the final outcome. In our study patients, all acid-base abnormalities resolved spontaneously.

Original languageEnglish (US)
Pages (from-to)1044-1046
Number of pages3
JournalMayo Clinic Proceedings
Volume69
Issue number11
StatePublished - 1994

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Status Epilepticus
Respiratory Acidosis
Acids
Acidosis
Blood Gas Analysis
Cardiac Arrhythmias
Respiratory Alkalosis
Lung
Hospital Emergency Service
Electrocardiography
Thorax
Gases

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wijdicks, E. F. M., & Hubmayr, R. D. (1994). Acute acid-base disorders associated with status epilepticus. Mayo Clinic Proceedings, 69(11), 1044-1046.

Acute acid-base disorders associated with status epilepticus. / Wijdicks, E. F M; Hubmayr, R. D.

In: Mayo Clinic Proceedings, Vol. 69, No. 11, 1994, p. 1044-1046.

Research output: Contribution to journalArticle

Wijdicks, EFM & Hubmayr, RD 1994, 'Acute acid-base disorders associated with status epilepticus', Mayo Clinic Proceedings, vol. 69, no. 11, pp. 1044-1046.
Wijdicks, E. F M ; Hubmayr, R. D. / Acute acid-base disorders associated with status epilepticus. In: Mayo Clinic Proceedings. 1994 ; Vol. 69, No. 11. pp. 1044-1046.
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