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Nonconvulsive status epilepticus: High incidence in dialysis‐dependent patients
Author(s) -
IFTIKHAR Sheikh,
DAHBOUR Said,
NAUMAN Siddiqi
Publication year - 2007
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2007.00206.x
Subject(s) - medicine , status epilepticus , incidence (geometry) , hemodialysis , dialysis , intensive care medicine , pediatrics , emergency medicine , epilepsy , psychiatry , physics , optics
Nonconvulsive status epilepticus is defined as a mental status change from baseline of at least a 30‐min duration associated with constant or near‐continuous ictal discharges on an electroencephalogram (EEG). Nonconvulsive status epilepticus is an often‐overlooked diagnosis as a cause of acute confusional state. There are few case reports in dialysis patients. We are reporting 5 patients on chronic dialysis treatment who presented with an acute confusional state. Nonconvulsive status epilepticus was diagnosed by EEG and response to intravenous benzodiazepines. We recommend early EEG to be considered in the evaluation of dialysis patients with an acute confusional state.