Table 1.
Reported cases (n) | 31 |
Demographic data | |
Mean age (years ± SD) | 24.6 ± 12.4 |
Age range (years) | 7–65 |
Female gender (%) | 55 |
Prodromal phase | |
Presence of fever (% of pts) | 100 |
Interval between fever onset and SE onset (days ± SD) | 6.1 ± 2.5 |
Altered mental status (% of pts) | 63 |
Isolated seizures | 27 |
Acute phase | |
Seizures’ semiology (% of pts) | |
Focal motor/s generalization | 90 |
Complex partial | 14 |
Myoclonus/e.p.c. | 14 |
Response to treatments (% of pts) | |
Responsive SE | 26 |
Refractory SE | 32 |
Super-refractory SE | 42 |
Patients needing ICU (%) | 74 |
Immuno-modulating therapies (% of pts) | |
IV steroids | 59 |
IV Ig | 48 |
PEX | 11 |
None | 26 |
Undetermined | 12.9 |
Outcomes | |
Death in acute phase (% of pts) | 7 |
Death in chronic phase (% of pts) | 4 |
Chronic epilepsy (% of pts) | 78 |
Cognitive deficits (% of pts) | 74 |
Behavioral deficits (% of pts) | 32 |
SE, status epilepticus; pts, patients; e.p.c., epilepsia partialis continua; ICU, intensive care unit; IV, intravenous; Ig, immunoglobulin; PEX, plasma exchange.
Responsive SE indicates a response to first- and second-line antiepileptic drugs; refractory SE indicates patients who fail to respond to antiepileptic drugs requiring third-line agents (propofol, barbiturate anesthesia). Super-refractory SE indicates cases in which seizures recurred after one cycle of anesthetic treatment.