VIVIANA ANDREA IBARRA
Hospital Dr Julio Méndez
Title: Convulsive and non convulsive focal status epilepticus
Submitted Date: 2018-08-28
Biography
VIVIANA ANDREA IBARRA staff neurologist in Hospital Dr. Julio Méndez,she studied in university of Buenos Aires.
Abstract
Focal status, convulsive and nonconvulsive, is a frequently underdiagnosed condition and enough data of clinical research is not yet available about the most frequent focal status, risk factors associated to drug resistance and morbimortality. Methods: This is a retrospective study based on the analysis of medical records from patients admitted in our hospital in internal medicine service with focal status between December 2013 and April 2017. We have analysed demographic characteristics, different types of focal status, morbimortality and risk factors related to refractory condition. For qualitative variables we described frequencies and percentage, and for quantitative, average, standard deviation, minimal and maximum. To compare frequencies we used Chi² test, and for average, Student Test for independent samples. All tests were two-sided, and a P value of 0.05 was considered to indicate statistical significance. Results: We included 27 patients, 15 women and 12 men, with whom the non motor focal crisis with impaired consciousness, was the most frequent type of crisis. Refractory condition and morbimortality were significantly related to the evolution time of the symptoms. Mortality was also associated with the severity of the underlying disease. Age was not a prognosis factor linked to evolution. Conclusion: The focal status is frequently an underdiagnosed condition. The prompt recognition of symptoms and an adequate interpretation of electroencephalogram, are basic for an early diagnosis and treatment, and also to improve the outcome and to decrease the morbimortality associated.