FAQ - Status Epilepticus
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How long does it take to go into status epilepticus after stopping medication immediately? How many hours?


In case I am declared an enemy combatant and detained for an unlimited amounted of time, as the government can do.
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Depends on the medication. Some have longer half-lives than others. Status epilepticus can occur after rapid decrease in drug levels, but does not always occur. It is more common if you have had status in the past.
My advice- don't stop medication abruptly.  (+ info)

Question about status epilepticus?


Hello, I have a general question about status epilepticus, something I was just curious about. While I know you can have a constant tonic-clonic seizure in status epilepticus, is it possible to have a constant absense seizure?

Thank you!
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I dunno but I have a website that talks about epilepsy. I hope that the website can help with info.


http://www.epilepsyfoundation.org/about/  (+ info)

what are the first line treatments for status epilepticus?


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my dog is facing Status epilepticus with prolonged seizures lasting to 3-4 hrs. Whit shoul i do to controll it


Seizures in dogs are the most common disease affecting the nervous system. They have a number of causes and not all of them are true epilepsy. It is only when we eliminate all organic causes of seizures that we can label the disease epilepsy, idiopathic epilepsy or primary epilepsy. In epilepsy the root cause of seizures is a defect in nerve transmission within the brain. During an epileptic seizure random impulses are sent from the nerve cells of the brain to muscle tissue throughout the body. In “true” or idiopathic epilepsy the source of these abnormal brain impulses are small areas of abnormal or damaged brain tissue. During a seizure, these tiny areas of abnormal nerves cells or neurons begin sending out electrical impulses that are received by the nerve cells that surround them. This results in a chain reaction in which the surrounding nerve cells are stimulated to fire off a shower of signals of their own to various muscles of the body. These abnormal electrical signals constitute a seizure.

When no organic brain lesion can be located that is responsible for the disease, the condition is called idiopathic epilepsy. Cases of idiopathic epilepsy involve a large element of family heredity. It is common for epileptic adults to produce epileptic offspring. When a brain lesion can be identified the condition is called secondary epilepsy. Secondary epilepsy also frequently occurs due to non-brain events that affect the brain such as overheating (hyperthermia), increased intracranial pressure, low blood glucose, intestinal inflammation and major body organ failure. Regardless of cause, witnessing an epileptiform seizure can be very frightening to a pet owner. If your pet suffers from seizures, try to remember that they look much more terrifying than they actually are to the pet.

Primary epilepsy is over twenty times as common in dogs as in cats. Among dogs certain breeds, such as golden retrievers, are highly susceptible to the disease. Purebred cats are more susceptible to epilepsy than randomly bred cats. Among dogs, collies, poodles, beagles, keeshunds, Labrador retrievers, German shepherds and collies seem more susceptible to the disease.
Epileptic seizures in cats tend to be more serious than in dogs. As opposed to dogs, cats usually have an acquired brain lesion or disease that is responsible for their epilepsy. Because many of these causes are progressive, the long-term prognosis for epileptic cats is not nearly as good as it is for dogs. Once common cause of epileptiform seizures that I see in cats is infection with the virus of feline infectious peritonitis. Another cause is infection with toxoplasmosis. Increases in pressure within the brain, liver and kidney disease, low blood sugar, brain tumors, vitamin B-1 deficiency, feline AIDS, rabies, insecticides, antifreeze and migrating parasites account for most of the other cases of epilepsy in cats.

During an epileptic seizure the pet looses consciousness. Epileptic seizures have been likened to an electrical storm. The location within cerebral cortex of the brain where these impulses originate and the target tissues of the nerve cell impulses define the type epilepsy that occurs. When a defect within the brain can be identified and is the source of these abnormal impulses we call the condition symptomatic or secondary epilepsy. When the whole body is wracked by severe muscle contractions, the seizures are called grand mal. When epilepsy is less severe and affects fewer muscle groups it is called petite mal. Status epilepticus is a term used to characterize severe seizures that occur again and again with little or no rest between convulsive episodes.

Most pets that develop epilepsy have their first seizures between one and five years of age. During a seizure, the pet falls on its side with its legs outstretched and it’s back arched convexly. Most dogs maintain their legs rigidly extended but some paddle as if they were running. Dogs may whine although they are not in pain. They often void their bowels and bladder. Their jaws are clenched during the initial phase of the seizure. If only a portion of the body is affected the seizure is called a focal simple seizure when the dog retains consciousness and focal complex seizures when consciousness is lost. Focal simple seizures often involve the muscles of the face. Some seizures affect portions of the brain that control conscious thought rather than motion. When an area of the brain that controls the conscious process is affected the seizure is called a psychomotor seizure. In humans this form of seizure is called frontal lobe epilepsy. During this altered period of consciousness the pet may show fear, aggression, hyperactivity, repetitive nonsensical behavior, gum chewing or snapping at imaginary insects.

Because so many areas of the brain can give rise to epileptic seizures, not two pets exhibit exactly the same signs. In some instances seizures will be a one-time episode never to occur again. In other pets the problem reoccurs at regular intervals of from every several days to several times a year.

A Typical Seizure
A single seizure event of epilepsy can be broken down into four distinct stages. The first stage is called the prodome, prodromal or warning stage. This stage lasts from several minutes to, in extreme cases, several days prior to the seizure event. During this stage, changes in mood and behavior can be noticed. In people with epilepsy, dogs have been trained to warn their owners during this period that a seizure is eminent.

The second stage of an epileptic seizure is called the aura. In humans, this is the first stage at which the person is conscious that a seizure is eminent. In dogs and cats, restlessness, wandering, pacing, licking, trembling, vomiting and vocalization may occur during this stage.

The next stage is called ictus. This is the time of the seizure itself when the body is subject to uncontrolled movement and thrashing. During this stage the pet is unconscious. Any vocalization is not due to pain. This is the period when dogs and cats often void their urine and bowels. Paddling or swimming movements, clenched teeth, and arched back are common during this stage. In cases where partial seizures occur, the pet may run in circles, and appear blind or deaf. Partial seizures may amount to no more than a twitching of facial or body musculature or the chewing of imaginary gum.

The final stage of an epileptic seizure is called the ictal or postictal stage. This is the stage of gradual recovery. Dogs and cats in the postical stage appear dazed or hung over. They may bump into objects. These pets are exhausted and sleep a lot. They may have a blank expression or appear to stare out into space.

When a seizure occurs in a loved pet, owners tend to over-react. Their first inclination is to rush the pet to an emergency veterinary center. Luckily, most epileptic seizures last only a few minutes. One to three minute seizures are most common. Those that last five to ten minutes are less common. Those that last longer than fifteen minutes can become medical emergencies since these pets may have trouble breathing. This is how a seizure typically progresses: The pet will seem perfectly normal when all of the sudden it begins to wobble. It may back up and sit down with its rear legs extended under its stomach. Then the muscles of its face will begin to twitch. The pets teeth can often be heard to chatter. The pet then begins to drool and salivate with its teeth clenched tightly. It will often foam at the mouth and respiration becomes rapid and labored. This is all very scary. But try to remember that your pet is oblivious to what is happening and remembers nothing of the event. As the seizure progresses the pet usually falls over on its side with its limbs extended and its back arched. After a few minutes breathing returns to normal, the body relaxes and the dog again becomes aware of its surroundings.


What To Do During A Seizure
If your pet or a neighbor’s pet develops a seizure when you are present begin by placing the pet’s head on a soft folded towel or pillow. You may carry the pet in a blanket to a tiled area so as not to soil the carpet or rug. Then remove all objects that surround the pet so it will not injure itself. Do not put your hands into the pet’s mouth or you are very likely to be bitten. It is quite rare for a dog to “swallow” its tongue but if the pet should turn bluish you can use an inverted spoon to manipulate the tongue. If this is not sufficient and the dog is still having difficulty breathing open the mouth by passing two towels through the mouth and pulling on them – one up, one down - to force the mouth open. You can gently stroke and speak calmly and softly to your pet. He will not know you are present until the seizures begin to subside. Keep the room darkened and keep other family members away. You can already position some paper towels and warm soapy water on a wash stand beyond the pet’s reach.

When To Start Medicating My Pet?
Dogs and cats should receive anti-seizure medications when they have two or more seizures within and 8-week period or two or more cluster seizures within a 12-week period. Dogs and cats that show unusually severe ictal or postictal periods should also begin medication.

Medications Used To Treat Epilepsy
Several medications are very effective in preventing epileptic seizures in pets:

Primadone (Mysoline, Mylepsin, etc.)
This old time standby for epilepsy is dispensed in 50 and 250mg tablets. The accepted dose for this drug is 4-5mg/pound body weight two or three times a day. Through blood serum monitoring the final dose should be adjusted to 5-7.5mg/pound three times a day.

Phenobarbital
Phenobarbital is the most commonly used drug to treat epilepsy in dogs and cats.
The initial dose should be 1mg/pound body weight given twice a day. Dose should then be adjus  (+ info)

Can you be Conscious during Status Epilepticus?


No. In a state of status epilepticus there is a generalized and continuous seizure going on, and you can't be conscious and in one at the same time. The brain isn't wired that way.  (+ info)

my daughter was in status epilepticus for almost two hours, she's not talking now. will she regain her speech?


status epilepticus and brain damage
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You took her to a doctor or emergency room i hope? If not, go now.  (+ info)

status epilepticus did I need ventilation?


Tuesday night I entered myclonic status epilepticus which thanks to bad triage went on for probbaly 3 hours on and off before I was treated. (I should have gone in by ambulance) Being in a seizure so long made me extremly limp and exhausted, I am still recovering. However during a myoclonic seizure you dont loose consciousness, yes I was really out of it from exhaustion but as far as I know I didnt fall unconscious

On my way into the back of the ER .. the emergency part, I was not put on a breathing tube but they used the bag and mask, as far as I know I was breathing OK. Then again, when I was given ativan they used it again to breathe for me. Im wodnering why they did this, if perhaps i did loose consciousness
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  (+ info)

Can I get Ativan injections for status epilepticus?


I have had many grand mal seizures and have NEVER had just one then continued with my day like most people. I will not regain consciousness between them and I have lesions all over my brain.

The only way to stop these seizures (tonic clonic apparently) is to be injected with Ativan. This has been an issue for 6 years now and I'm afraid the medic won't get it to me fast enough or I will have severe brain damage from these seizures. I have already had brain surgery to remove lesions but it failed. I am only 23.

Has anyone ever been able to get this as an injection much like an epi-pen? Thanks.
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wow! I love you already. cluster seizures suck. I have them too. the ativan is nice but also gives me seizures. is there someone to pop pills in your mouth? they dissolve quick. There is so much you can do for yourself. I am reading a book right now, it is Epilepsy a new approach. I wish I could talk to you more. you are the first person I have had the chance to talk to who has cluster seizures. This is a very serious thing we are dealing with and there is so much you should know. there is so much your doctor does not tell you and so much that you yourself can do. about 7 months ago I had a good bunch of seizures and had my second stroke. it was months before some of the effects went away. like a numb hand for months. anyway you need to do everything you can to get this under control. do you have an aura? what are your triggers. it took 9 years to figure out caffeine sets mine off. get the information, read all you can and please help other people. this is why you are here, to help other people with all you know. how does your EEG look? are you on meds? Have you been blessed with postictal psychosis? I keep ativan in the house and if I have a seizure my wife crams on in my mouth as soon as she can get my mouth open. I found it to be the easiest way so far. shots hurt. paramedics or the ER will almost always give you the shot if you are seizing though. Use this for your benefit though, you have no other choice. If you can find some good out of what you are experiencing life will be totally different for you. please e-mail me anytime [email protected] or [email protected] I would be honored to help you as much as I can and could also use the help of others who have these same experiences. god bless  (+ info)

What is it like to have a status migraine episode?


I need to know what it's really like to go through a status migraine episode. I've read about medical definitions and medical descriptions, but it's not the same as personal experiences. Thanks everyone.
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Status Migrainosus is simply having a migraine that won't go away. So if you have migraines and they don't go away for more than 3 days and they are severe and debilitating, then that would be status migrainosus. Those types of headaches should not be treated with narcotics and is usually treated by a neurologist. IV DHE is the best medication to stop an attack but usually requires inpatient admission and treatment may last for 3 days.

I don't know if you have migraines, but they will have pounding or throbbing pain behind or around the eyes or just on the side of your head, sensitivity to light and sounds, nausea, vomiting, and be worse with movement to the point you can't go about doing your daily activities.  (+ info)

What are 2 public health concerns that have a bearing on nutritonal status?


I have to a do a nutrition project for nursing school and I have to write something on the following question but I can't figure out what the 2 public health concerns may be. Any help?

What are 2 public health concerns that have a bearing on nutritonal status?
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Salmonella tomatoes...

and other bad fruits and veggies...  (+ info)

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