Complex partial status epilepticus
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| field = Neurology
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Complex partial status epilepticus (CPSE) is one of the non-convulsive forms of status epilepticus, a rare form of epilepsy defined by its recurrent nature. CPSE is characterized by seizures involving long-lasting stupor, staring and unresponsiveness.{{eMedicine|neuro|114}} Sometimes this is accompanied by motor automatisms, such as eye twitching.{{cite journal |vauthors=Fernández-Torre JL, Gutiérrez-Pérez R, Velasco-Zarzosa M |title=Non-convulsive status epilepticus |language=es|journal=Revista de Neurología |volume=37 |issue=8 |pages=744–52 |year=2003 |pmid=14593634 }}
Diagnosis
As is the case with other non-convulsive status epilepticus forms, CPSE is dangerously underdiagnosed.{{cite journal |author=Murthy JM |title=Nonconvulsive status epilepticus: An under diagnosed and potentially treatable condition |journal=Neurology India |volume=51 |issue=4 |pages=453–4 |date=1 October 2003|url=http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2003;volume=51;issue=4;spage=453;epage=454;aulast=Murthy |pmid=14742920 }} This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an electroencephalogram, or EEG, is needed to confirm a neurologist's suspicions. The EEG is also needed to differentiate between absence status epilepticus (which affects the entire brain), and CPSE, which only affects one region.{{cite journal |vauthors=Husain AM, Horn GJ, Jacobson MP |title=Non-convulsive status epilepticus: usefulness of clinical features in selecting patients for urgent EEG |journal=J. Neurol. Neurosurg. Psychiatry |volume=74 |issue=2 |pages=189–91 |year=2003 |pmid=12531946 |doi= 10.1136/jnnp.74.2.189|url= |pmc=1738268}}
Treatment
Treatment is in the form of anti-epileptic drugs, such as barbiturates, benzodiazepines and topiramate.{{cn|date=July 2021}}
References
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External links
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| ICD10 = {{ICD10|G|41|2|g|40}}
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| eMedicineSubj = neuro
| eMedicineTopic = 114
| MeshID = D013226
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{{Seizures and epilepsy}}
{{DEFAULTSORT:Complex Partial Status Epilepticus}}