First-ever Seizure Presenting as Status Epilepticus

J Korean Neurol Assoc > Volume 12(4); 1994 > Article

Journal of the Korean Neurological Association 1994;12(4): 686-693.

간질중첩증으로 발현되는 최초 간질

송인범, 송희정,김재문,정진상

충남대학교 신경과.

First-ever Seizure Presenting as Status Epilepticus

In Beom Song, M.D., Hee Jung Song, M.D., Jae Moon Kim, M.D., and Chin Sang Chung, M.D.

Department of Neurology, Medical College and Hospital, Chungnam National University

Abstract

Status epilepticus (SE) is a neurological emergency that requires prompt diagnosis and treatment. Prognosis of SE depends mostly on the underlying illnesses and secondary brain damage from seizure activity. For early detection of poor prognostic factors in SE, we retrospectively analyzed 121 SE patients with their medical redords, laboratory findings, and neuroimaging studies. No single factor other than the previous history of seizure was associated with their prognosis. According to presence or absence of previous seizure history, they were divided into the first-ever seizure group (53 patients) and recurrent seizure group (68 patients). We compared both two groups in respect to demographic, neurological, and radiological features, response to antiepileptic drugs (AEDs), and short-term outcome of SE. The results stggest that the patients of the first-seizure group are older and have more frequent detectable etiological diseases, poor response to AEDs, and higher mortality, hence prognosis being worse than the recurrent-seizure group.