The Different Clinical Features Between Autoimmune and Infectious Status Epilepticus

Frontiers in Neurology
Chih-Hsiang LinMeng-Han Tsai

Abstract

Objective: The prognosis of status epilepticus (SE) is highly related to the underlying etiology. Inflammation of the central nervous system (CNS), including infection and autoimmune encephalitis, is one of the treatable conditions causing SE. The initial presentation of infectious and autoimmune CNS disorders can be quite similar, which may be difficult to differentiate at the beginning. However, treatment for these entities can be quite different. In this study, we aim to identify the differences in clinical features among patients with infectious and autoimmune SE, which could help the clinicians to select initial investigation and ensuing therapies that may improve overall outcomes. Methods: This was a retrospective study that included 501 patients with SE within a period of 10.5-years. Patients with inflammatory etiology were collected and separated into infectious and autoimmune SE. The symptoms at onset, SE semiology, status epilepticus severity score, and END-IT score at admission, treatment for SE, and outcome (modified Rankin Scale) on discharge and last follow-up were recorded. Data on the first cerebrospinal fluid, electroencephalography, and magnetic resonance imaging were also collected. Results: Forty-six (9.2%) ...Continue Reading

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Citations

Apr 7, 2020·Expert Review of Neurotherapeutics·Umberto RaucciPasquale Parisi
Jul 11, 2019·Journal of Clinical Medicine·Chih-Hsiang LinMeng-Han Tsai
May 22, 2020·SN Comprehensive Clinical Medicine·Lucille BrunkerJoseph J Schlesinger
Jul 21, 2021·Seizure : the Journal of the British Epilepsy Association·Lu ChenQian Wu

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Methods Mentioned

BETA
PCR

Software Mentioned

STESS
IT
SPSS Statistics
END

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