• Neurosurg. Clin. N. Am. · Jul 2013

    Review

    Seizures and the neurosurgical intensive care unit.

    • Panayiotis N Varelas, Marianna V Spanaki, and Marek A Mirski.
    • Department of Neurology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202-2689, USA. varelas@neuro.hfh.edu
    • Neurosurg. Clin. N. Am. 2013 Jul 1; 24 (3): 393-406.

    AbstractThe cause of seizures in the neurosurgical intensive care unit (NICU) can be categorized as emanating from either a primary brain pathology or from physiologic derangements of critical care illness. Patients are typically treated with parenteral antiepileptic drugs. For early onset ICU seizures that are easily controlled, data support limited treatment. Late seizures have a more ominous risk for subsequent epilepsy and should be treated for extended periods of time or indefinitely. This review ends by examining the treatment algorithms for simple seizures and status epilepticus and the role newer antiepileptic use can play in the NICU.Copyright © 2013 Elsevier Inc. All rights reserved.

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