Summary:
Nonconvulsive status epilepticus (NCSE) may not be at the first look considered a manifestation of
epilepsy and making this diagnosis is generally more difficult than of a convulsive status. Nonconvulsive
SE is characterised by a sudden change in cognitive functions or behaviour, which lasts at least 30
minutes, whereas epileptic manifestations are of different nature, may be accompanied by qualitative
or quantitative change of consciousness of a different degree and EEG examination demonstrates
epileptic seizing activity. Three criteria are important for making the diagnosis of NCSE: 1. prolonged
impairment of consciousness or behaviour lasting longer than 30 minutes, 2. abnormal EEG recording
with occurrence of epileptiform waveforms, changed against the interictal EEG recording, 3. an
obvious effect of parenteral antiepileptic drug therapy. The following four case reports present the
issue of NCSE, including example EEG recordings.
Key words:
nonconvulsive status epilepticus, absence status epilepticus, partial complex status epilepticus.
EEG
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