Status epilepticus in the elderly: Differential diagnosis and treatment

Elizabeth Ann Mauricio, William David Freeman

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Seizures are not an uncommon occurrence in older adults, and the incidence of status epilepticus is much greater in the elderly than in younger populations. Status epilepticus is a neurologic emergency and requires prompt intervention to minimize morbidity and mortality. Treatment involves both supportive care as well as initiation of medications to stop all clinical and electrographic seizure activity. Benzodiazepines are used as first-line agents, followed by antiepileptic drugs when seizures persist. In refractory status epilepticus, urgent neurologic consultation is indicated for the titration of anesthetic agents to a level of appropriate background suppression on EEG. In light of our aging population, physician awareness and competence in the management of status epilepticus is imperative and should be recognized as a growing public health concern.

Original languageEnglish (US)
Pages (from-to)161-166
Number of pages6
JournalNeuropsychiatric Disease and Treatment
Volume7
Issue number1
DOIs
StatePublished - 2011

Keywords

  • Convulsive
  • Elderly
  • Generalized
  • Nonconvulsive
  • Refractory
  • Status epilepticus
  • Treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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