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- W2947313045 endingPage "74" @default.
- W2947313045 startingPage "62" @default.
- W2947313045 abstract "Postictal syndrome (PIS) encompasses the clinical, biological, electroencephalographic (EEG) and magnetic resonance imaging (MRI) signs that follow the termination of a seizure. These signs occur as soon as the epileptic discharge ends, but might remain for a substantially long period of time, making them amenable to clinical observation. As a direct consequence, neurologists and intensivists are more frequently attending patients with PIS than during their seizure. Moreover, careful PIS documentation may help physicians to diagnose epileptic seizure from other non-epileptic disorders. Careful analysis of PIS could also be helpful to better characterize the seizure (seizure subtypes, and to some extent, the localization and/or lateralization of the seizure). This article aims to review the main clinical, biological, EEG and MRI components of PIS, discuss differential diagnoses and propose a general clinical attitude, based on the acronym WAITTT: W for Watch, to monitor and investigate PIS in order to provide relevant information on seizure, AIT for Avoid Inappropriate Treatment, to underscore the risk carrying out unnecessary drug injections and intensive care procedures in the setting of a self-limited symptomatology, and TT for Take Time, to keep in mind that time remains the clinician's best ally for treating patients with PIS." @default.
- W2947313045 created "2019-06-07" @default.
- W2947313045 creator A5001164089 @default.
- W2947313045 creator A5040384843 @default.
- W2947313045 creator A5041629639 @default.
- W2947313045 date "2020-01-01" @default.
- W2947313045 modified "2023-09-30" @default.
- W2947313045 title "Postictal syndrome: The forgotten continent. An overview of the clinical, biochemical and imaging features" @default.
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