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2011, Number 4

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Rev Cub Med Int Emerg 2011; 10 (4)

Convulsive epileptic status in the acute cerebrovascular disease

García GA, Díaz FY, Gutiérrez GL, Pradere PJC, Campillo AD

Language: Spanish
References: 25
Page: 2261-2272
PDF size: 258.38 Kb.


ABSTRACT

Introduction: The epileptic crisis is a common neurologic consequence in the cerebrovascular disease (CVD). Its presence during acute CVD increases its mortality.
Objectives: To characterize the patients presenting with convulsive epileptic status during the acute cerebrovascular disease admitted in units of care to critical patients of the “Dr. Carlos J. Finlay” from July, 2007 to June, 2011.
Methods: A descriptive and retrospective study was conducted and also the review of database of patients presenting with convulsive status admitted in the service.
Results: here was predominance of female sex (55,1 %), aged over 61 (81,6 %), motor partial convulsive epileptic status (40,8 %), ischemic CVD (87,8 %), convulsive epileptic status greater than 30 minutes( 59,2 %) and the deceased ones (61,2 %). The more frequent personal pathological backgrounds were: high blood pressure (75,5 %), former CVD (51 %), chronic ischemic heart disease (32,7 %) and diabetes mellitus (24,5 %). The more frequent complications included: acute respiratory insufficiency (27,9 %), refractory convulsive epileptic status (27 %) and respiratory sepsis (26,2 %). The group of patients with more complications (78,2 %) was that with more deceased. In these latter there was predominance of female sex (53,3 %), ischemic CVD (83,3 %), the type motor partial convulsive epileptic status (43,3 %), the 61-80 age-group (66,7 %), stage ≤ 14 days (73,3 %) and EEC with a length of 31 min. The patients with a length of the convulsive epileptic status greater than 30 minutes, those complicated with acute respiratory insufficiency, refractory convulsive epileptic status and respiratory sepsis had the great risk of death.
Conclusion: The convulsive epileptic status worse the prognosis of the CVD.


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