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- W2147470108 abstract "El estado epiléptico es una emergencia médica. Existen diversas definiciones de estado epiléptico y clasificaciones según etiología, tipo de crisis y respuesta a terapia. En esta revisión, se adopta la variable tiempo como fundamental en el manejo del paciente. Otro concepto que se resalta, es la sospecha frente a pacientes graves o con ciertas patologías, la posibilidad de presentar estado epiléptico no convulsivo, ya que la identificación de este, podría mejorar el manejo del paciente grave. Las benzodiacepinas siguen siendo la terapia de primera línea, con una muy buena tasa de respuesta, cuanto más precoz se adopte la terapia. Se discuten diferentes terapias de segunda línea (fenitoína, fenobarbital, valproato, levetiracetam y midazolam) y se mencionan aquellas de tercera línea, tanto farmacológicas como otras (dieta cetogénica, inmunosupresores, corticoides y cirugía). Status epilepticus is a medical emergency. There are several definitions of status epilepticus and classifications by etiology, seizure type and response to therapy. In this review, the time variable is taken as fundamental in patient management. Another concept to highlighted is the suspicion in severe patients or with certain diseases, the possibility of presenting non-convulsive status epilepticus, since the identification of this, might improve the management of critical patient. Benzodiazepines remain the first-line therapy, with a very good response rate, when the earlier therapy is adopted. We discuss different second-line therapy (phenytoin, phenobarbital, valproate, levetiracetam and midazolam) and alude those third-line, pharmacological and other (ketogenic diet, immunosuppressants, corticosteroids and surgery)." @default.
- W2147470108 created "2016-06-24" @default.
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- W2147470108 date "2013-11-01" @default.
- W2147470108 modified "2023-09-27" @default.
- W2147470108 title "Estado epiléptico, consideraciones sobre manejo y tratamiento" @default.
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- W2147470108 doi "https://doi.org/10.1016/s0716-8640(13)70247-5" @default.
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