TY  - CHAP
M1  - Book, Section
TI  - Status Epilepticus
A1  - Ortega-Gutierrez, Santiago
A1  - Desai, Naman
A1  - Claassen, Jan
A2  - Lee, Kiwon
Y1  - 2012
N1  - 
T2  - The NeuroICU Book
AB  - Generalized  convulsive  status  epilepticus.  A  previously  healthy  19-year-old  woman  was  brought  to  the  emergency  department  (ED)  for  a  witnessed  "convulsion."  She  had  suddenly  stopped  talking  and  stared  into  space  in  the  middle  of  a  conversation  with  her  roommates.  She  then  exhibited  stereotypical  picking  behavior  of  her  clothes  followed  by  head  deviation  to  the  right  and  generalized  tonic-clonic  arm  and  leg  movements  lasting  approximately  3  minutes.  She  was  not  incontinent  but  she  did  bite  her  tongue.  Emergency  medical  services  (EMS)  were  activated  and  immediately  transferred  her  to  the  closest  ED,  where  she  was  found  to  be  lethargic  with  a  temperature  of  101.3°F.  The  rest  of  her  vitals  were  within  normal  limits.  She  had  bilaterally  reactive  pupils  to  light,  an  intact  oculocephalic  reflex,  and  intact  corneal  reflexes.  She  localized  to  painful  stimulation  with  the  left  arm  but  did  not  move  the  right  side.  Her  tone  was  decreased  on  the  right  side  with  a  positive  Babinski  sign.  The  remainder  of  her  neurologic  examination  was  unremarkable.  An  admission  chest  radiograph  and  head  computed  tomography  (CT)  were  unrevealing.  On  returning  from  the  CT  imaging,  the  patient  had  a  second  generalized  tonic-conic  seizure  witnessed  by  the  ED  staff  which  lasted  slightly  more  than  5  minutes.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/25
UR  - neurology.mhmedical.com/content.aspx?aid=1101642441
ER  -