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A Study of Postictal Complications and Co-Morbidities of Status Epilepticus in Emergency Department of Tertiary Hospital of Bundelkhand Region, Central India

Authors: Kuldeep Kumar; Jeetam Singh Rajput; Virendra Gupta; Ravindra Singh;

A Study of Postictal Complications and Co-Morbidities of Status Epilepticus in Emergency Department of Tertiary Hospital of Bundelkhand Region, Central India

Abstract

Introduction: The postictal state is a temporary condition that occurs after seizures, often characterized by EEG slowing or suppression, and can last from minutes to days. Seizures can be accompanied by various postictal complications, including headache, automatism, delirium, psychosis, functional deficits, neuropsychological deficits, and abnormal behavioral manifestations. Effective management of postictal states requires identification of associated comorbidities and underlying neurological and systemic disorders. However, there is limited information regarding the causes, prevalence, and optimal treatment of postictal complications following status epilepticus. This study aimed to determine the different types of postictal complicationsand comorbidities. Materials and Methods: Patients with status epilepticus were observed after their seizure episode subsided, and their medical history and comorbidities were recorded. It was a cross sectional observation study. 100 participants were selected for the study at MLB Medical College, Jhansi, between March 2020 and November 2021. Written informed consent was obtained from all participants after explaining the study's objectives and procedures. Results: The most common postictal complication observed in our study was headache, experienced by 51% of patients after the seizure subsided. Delirium was observed in approximately 28% of patients, while psychosis and automatism were reported by 9% and 8% of patients, respectively. Conclusions: The results of our study indicate that individuals with seizures have significantly higher odds of experiencing various comorbid conditions compared to those without seizures. The strongest association was found between seizures and stroke.

Keywords

Medicine (General), Postictal, delirium, R5-920, seizure, postictal, Delirium, comorbidities, Seizure, Comorbidities

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
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