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Background: The generalized convulsive status epilepticus (GCSE) is a medical emergency with a high morbimortality rate. We analized the casuistry in our hospital and we assessed the causes related to mortality. Patients and methods: This is a retrospective study of 57 cases of GCSE that took place between january 1992 to december 1998. The variables studied were mortality among groups according to age, pre- vious epilepsy and the duration of the convulsive episode. Results: We found male prevalence (63.2%). The 49.2% of patients didnt have previous history of epilepsy. In 38.6% of cases the treatment dose was insufficient and in 61.4% it was delated. The mortality rate was 36.8% with a higher significance in patients older than 65 (p<0.02), wit - hout previous history of epilepsy (p<0.001) and in episodes lasting more than 4 hours (p<0.05). Only 12.9% of patients received prehospital tre- atment. Conclusions: The mortality of GCSE is very high. The initial treat- ment is inadequate. We must establish a premature and adecuate proto- col, with optim farmacological doses and a good coordination with intensive care units.

Status epiléptico convulsivo generalizado: análisis a propósito de 57 casos