32. Recognizing, Assessing, and Treating Seizures and Status Epilepticus in the ICU

  1. John W. Miller MD, PhD Director, UW Regional Epilepsy Center, Professor of Neurology and Neurological Surgery3 and
  2. Howard P. Goodkin MD, PhD The Shure Professor of Neurology and Pediatrics, Director, Division of Pediatric Neurology4
  1. Nicolas Gaspard1,2 and
  2. Lawrence J. Hirsch2

Published Online: 10 JAN 2014

DOI: 10.1002/9781118456989.ch32

Epilepsy

Epilepsy

How to Cite

Gaspard, N. and Hirsch, L. J. (2014) Recognizing, Assessing, and Treating Seizures and Status Epilepticus in the ICU, in Epilepsy (eds J. W. Miller and H. P. Goodkin), John Wiley & Sons, Oxford. doi: 10.1002/9781118456989.ch32

Editor Information

  1. 3

    University of Washington, Seattle, WA, USA

  2. 4

    Department of Neurology, University of Virginia, Charlottesville, VA, USA

Author Information

  1. 1

    Computational Neurophysiology Laboratory, Yale University School of Medicine, New Haven, CT, USA

  2. 2

    Division of Epilepsy and EEG, Yale Comprehensive Epilepsy Center, Neurology Department, Yale University School of Medicine, New Haven, CT, USA

Publication History

  1. Published Online: 10 JAN 2014
  2. Published Print: 14 FEB 2014

ISBN Information

Print ISBN: 9781118456941

Online ISBN: 9781118456989

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Keywords:

  • seizures;
  • nonconvulsive seizures;
  • status epilepticus;
  • refractory status epilepticus;
  • critical illness;
  • electroencephalogram (EEG) monitoring

Summary

Seizures and status epilepticus are common in the ICU and often pose diagnostic and therapeutic challenges to the clinician. This chapter presents a practical approach to their diagnosis and treatment, including the diagnosis and management of nonconvulsive seizures and refractory status epilepticus, the use of antiepileptic drugs in critically ill patients, and seizure prophylaxis.