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Colegio de Medicina Interna de México.

2018, Number 5

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Med Int Mex 2018; 34 (5)

Non convulsive epileptic status in the geriatric patient

Morales-del Ángel AY, Hernández-Salcedo DR, Valencia-López R, Orozco- Paredes J

Language: Spanish
References: 28
Page: 704-714
PDF size: 631.18 Kb.


ABSTRACT

The non-convulsive epileptic status (NCES) as a differential diagnosis of delirium is an increasingly prevalent clinical entity in the geriatric population. Its presentation has been linked to many risk factors and confusion is the initial clinical manifestation in up to 49% of the patients which interferes with their quality of life and conditions disability. Differential diagnosis with delirium is essential because its similarity, so discard predisposing and precipitating factors and correct reversible causes is part of the initial management. The electroencefalogram (EEG) with clinical correlation establishes the diagnosis according to the type of non-convulsive epileptic status presentation. Diagnostic suspicion allows the identification and early confirmation, for choosing the ideal anticonvulsant treatment based on the patient’s age, comorbidities and psychiatric disorders in the geriatric patients, to reduce morbidity and mortality and preserve their functionality.


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