Complex partial status epilepticus

**Complex partial status epilepticus**
*Classification & external resources*
ICD-10	G41.2
eMedicine	neuro/114
MeSH	D013226

Complex Partial Status Epilepticus (CPSE) is one of the non-convulsive forms of Status epilepticus, a rare form of epilepsy defined by its recurrent nature. CPSE is characterized by seizures involving long-lasting stupor, staring and unresponsiveness.^[1] Sometimes this is accompanied by motor automatisms, such as eye twitching.^[2]

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Diagnosis

As is the case with other non-convulsive status epilepticus forms, CPSE is dangerously underdiagnosed.^[3] This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an Electroencephalogram, or EEG, is needed to confirm a neurologist's suspicions. The EEG is also needed to differentiate between absence status epilepticus (which affects the entire brain), and CPSE, which only affects one region.^[4]

Treatment

Treatment is in the form of anti-epileptic drugs, such as barbituates, benzodiazepines and topiramate.

References

^ neuro/114 at eMedicine
^ Fernández-Torre JL, Gutiérrez-Pérez R, Velasco-Zarzosa M (2003). "Non-convulsive status epilepticus" (in Spanish; Castilian). Revista de neurologia 37 (8): 744-52. PMID 14593634.
^ Murthy JM (2003). "Nonconvulsive status epilepticus: An under diagnosed and potentially treatable condition". Neurology India 51 (4): 453-4.
^ Husain AM, Horn GJ, Jacobson MP (2003). "Non-convulsive status epilepticus: usefulness of clinical features in selecting patients for urgent EEG". J. Neurol. Neurosurg. Psychiatr. 74 (2): 189-91. PMID 12531946.

v • d • e Nervous system pathology, primarily CNS (G00-G47, 320-349)
Inflammatory diseases of the CNS	Meningitis (Arachnoiditis) - Encephalitis - Myelitis - Encephalomyelitis (Acute disseminated) - Tropical spastic paraparesis
Systemic atrophies primarily affecting the CNS	Huntington's disease - Spinocerebellar ataxia (Friedreich's ataxia, Ataxia telangiectasia, Hereditary spastic paraplegia) Spinal muscular atrophy: Werdnig-Hoffman disease - Kugelberg-Welander disease - Fazio Londe syndrome - MND (Amyotrophic lateral sclerosis (ALS), Progressive muscular atrophy (PMA), Progressive bulbar, Pseudobulbar, PLS)
Extrapyramidal and movement disorders	Parkinson's disease - Neuroleptic malignant syndrome - Postencephalitic parkinsonism - Pantothenate kinase-associated neurodegeneration - Progressive supranuclear palsy - Striatonigral degeneration - Dystonia (Spasmodic torticollis, Meige's syndrome, Blepharospasm) - Essential tremor - Myoclonus - Chorea (Choreoathetosis) - Restless legs syndrome - Stiff person syndrome
Other degenerative / demyelinating diseases	Alzheimer's disease - Pick's disease - Alpers' disease - Dementia with Lewy bodies - Leigh's disease - Multiple sclerosis - Devic's disease - Central pontine myelinolysis - Transverse myelitis
Seizure/epilepsy	Focal (Simple partial, Complex partial) - Generalised (Tonic-clonic, Absence, Atonic, Benign familial neonatal) - Lennox-Gastaut - West - Epilepsia partialis continua - Status epilepticus (Complex partial status epilepticus)
Headache	Migraine (Familial hemiplegic) - Cluster - Vascular - Tension
Vascular	Transient ischemic attack (Amaurosis fugax, Transient global amnesia) - Cerebrovascular disease (MCA, ACA, PCA, Foville's syndrome, Millard-Gubler syndrome, Lateral medullary syndrome, Weber's syndrome, Lacunar stroke)
Sleep disorders	Insomnia - Hypersomnia - Sleep apnea (Ondine's curse) - Narcolepsy - Cataplexy - Kleine-Levin syndrome - Circadian rhythm sleep disorder - Delayed sleep phase syndrome - Advanced sleep phase syndrome
Other	Hydrocephalus (Normal pressure) - Idiopathic intracranial hypertension - Encephalopathy - Brain herniation - Cerebral edema - Reye's syndrome - Syringomyelia - Syringobulbia - Spinal cord compression

Categories: Medical emergencies | Epilepsy

This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Complex_partial_status_epilepticus". A list of authors is available in Wikipedia.