Estado epiléptico
Status Epilepticus
O. Barakat1, M.J. Fernández Pérez, J.A. Corrales Cruz, F.J. González Fernández, G. Izquierdo Ayuso, J. Fajardo Gálvez
Servicio de Medicina Intensiva. Hospital Universitario Virgen Macarena. Sevilla
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Corrales Cruz, F.J. González Fernández, G. Izquierdo Ayuso, J. Fajardo Gálvez" "autores" => array:6 [ 0 => array:3 [ "nombre" => "O." "apellidos" => "Barakat" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M.J." "apellidos" => "Fernández Pérez" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Corrales Cruz" ] 3 => array:2 [ "nombre" => "F.J." "apellidos" => "González Fernández" ] 4 => array:2 [ "nombre" => "G." "apellidos" => "Izquierdo Ayuso" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Fajardo Gálvez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Medicina Intensiva. Hospital Universitario Virgen Macarena. Sevilla" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. O. Barakat. Servicio de Medicina Intensiva. Hospital Universitario Virgen Macarena. C/ Fedriani, s/n. 41009 Sevilla" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Status Epilepticus" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2000-09-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec82376" "palabras" => array:7 [ 0 => "estado epiléptico" 1 => "fisiopatología" 2 => "clasificación" 3 => "causa" 4 => "diagnóstico" 5 => "tratamiento" 6 => "pronóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec82375" "palabras" => array:7 [ 0 => "status epilepticus" 1 => "physiopathology" 2 => "classification" 3 => "cause" 4 => "diagnosis" 5 => "treatment" 6 => "prognosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El estado epiléptico es una emergencia médica que precisa una actuación rápida y sistematizada. La asistencia al paciente epiléptico por el intensivista no debe encaminarse únicamente a controlar la crisis, sino a disminuir sus consecuencias y evitar su recurrencia. En este artículo se revisan la fisiopatología, clasificación, causas, diagnóstico, tratamiento y pronóstico del estado epiléptico.</p> <span class="elsevierStyleSectionTitle">Fuente de datos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La recopilación de la información necesaria para realizar esta revisión, se ha realizado a partir del resultado de una búsqueda bibliográfica exhaustiva y actualizada en MEDLINE.</p> <span class="elsevierStyleSectionTitle">Resultados y conclusiones</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El control precoz del estado epiléptico se correlaciona directamente con su buen pronóstico. Tener un protocolo de actuación definido es fundamental para conseguir este objetivo. Tras el cese de la actividad convulsiva, es imprescindible la monitorización de la actividad cerebral del paciente, pues en un número considerable de pacientes persiste un estado epiléptico “oculto” no convulsivo, que compromete y condiciona el pronóstico del enfermo. En más de la mitad de los casos existe una causa orgánica demostrable del estado epiléptico. El pronóstico de estos pacientes es peor que los que debutan por una causa no demostrable. La búsqueda de esta causa es fundamental para plantear soluciones definitivas y evitar la recurrencia de la crisis.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Status epilepticus is a medical emergency requiring rapid and systematic action. Intensivists should aim not only to manage the crisis but also to lessen its consequences and avoid recurrence. In this article, the physiopathology, classification, causes, diagnosis, treatment and prognosis of status epilepticus are reviewed.</p> <span class="elsevierStyleSectionTitle">Data source</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">An exhaustive and up-to-date MEDLINE search was performed to collect the information necessary for this review.</p> <span class="elsevierStyleSectionTitle">Results and conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The early treatment of status epilecticus is directly correlated with favorable prognosis. A defined protocol of action is essential to achieve this. Monitoring the patient’s brain activity once convulsions have ceased is essential since “occult” non-convulsive status epilepticus persists in a significant number of patients, wich compromises and determines prognosis. Demonstrable organic cause of status epilepticus can be found in more than half of cases. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 30 | 65 | 95 |
| 2024 Octubre | 276 | 515 | 791 |
| 2024 Septiembre | 257 | 383 | 640 |
| 2024 Agosto | 222 | 354 | 576 |
| 2024 Julio | 279 | 457 | 736 |
| 2024 Junio | 222 | 423 | 645 |
| 2024 Mayo | 267 | 440 | 707 |
| 2024 Abril | 337 | 517 | 854 |
| 2024 Marzo | 319 | 467 | 786 |
| 2024 Febrero | 319 | 488 | 807 |
| 2024 Enero | 441 | 436 | 877 |
| 2023 Diciembre | 268 | 439 | 707 |
| 2023 Noviembre | 444 | 382 | 826 |
| 2023 Octubre | 532 | 802 | 1334 |
| 2023 Septiembre | 343 | 628 | 971 |
| 2023 Agosto | 310 | 461 | 771 |
| 2023 Julio | 308 | 528 | 836 |
| 2023 Junio | 309 | 554 | 863 |
| 2023 Mayo | 160 | 290 | 450 |
| 2023 Abril | 234 | 355 | 589 |
| 2023 Marzo | 453 | 581 | 1034 |
| 2023 Febrero | 393 | 476 | 869 |
| 2023 Enero | 222 | 385 | 607 |
| 2022 Diciembre | 130 | 303 | 433 |
| 2022 Noviembre | 102 | 280 | 382 |
| 2022 Octubre | 91 | 199 | 290 |
| 2022 Septiembre | 102 | 224 | 326 |
| 2022 Agosto | 76 | 223 | 299 |
| 2022 Julio | 70 | 185 | 255 |
| 2022 Junio | 107 | 154 | 261 |
| 2022 Mayo | 101 | 199 | 300 |
| 2022 Abril | 53 | 205 | 258 |
| 2022 Marzo | 73 | 252 | 325 |
| 2022 Febrero | 63 | 167 | 230 |
| 2022 Enero | 62 | 178 | 240 |
| 2021 Diciembre | 79 | 148 | 227 |
| 2021 Noviembre | 54 | 210 | 264 |
| 2021 Octubre | 71 | 205 | 276 |
| 2021 Septiembre | 48 | 173 | 221 |
| 2021 Agosto | 54 | 133 | 187 |
| 2021 Julio | 55 | 123 | 178 |
| 2021 Junio | 52 | 104 | 156 |
| 2021 Mayo | 68 | 100 | 168 |
| 2021 Abril | 200 | 173 | 373 |
| 2021 Marzo | 110 | 82 | 192 |
| 2021 Febrero | 77 | 78 | 155 |
| 2021 Enero | 53 | 64 | 117 |
| 2020 Diciembre | 65 | 74 | 139 |
| 2020 Noviembre | 34 | 47 | 81 |
| 2020 Octubre | 59 | 53 | 112 |
| 2020 Septiembre | 44 | 25 | 69 |
| 2020 Agosto | 32 | 42 | 74 |
| 2020 Julio | 38 | 30 | 68 |
| 2020 Junio | 29 | 45 | 74 |
| 2020 Mayo | 47 | 60 | 107 |
| 2020 Abril | 34 | 49 | 83 |
| 2020 Marzo | 24 | 50 | 74 |
| 2020 Febrero | 95 | 92 | 187 |
| 2020 Enero | 52 | 87 | 139 |
| 2019 Diciembre | 31 | 72 | 103 |
| 2019 Noviembre | 41 | 119 | 160 |
| 2019 Octubre | 45 | 110 | 155 |
| 2019 Septiembre | 43 | 93 | 136 |
| 2019 Agosto | 50 | 121 | 171 |
| 2019 Julio | 65 | 82 | 147 |
| 2019 Junio | 35 | 73 | 108 |
| 2019 Mayo | 69 | 271 | 340 |
| 2019 Abril | 66 | 235 | 301 |
| 2019 Marzo | 44 | 218 | 262 |
| 2019 Febrero | 35 | 281 | 316 |
| 2019 Enero | 25 | 265 | 290 |
| 2018 Diciembre | 48 | 212 | 260 |
| 2018 Noviembre | 96 | 374 | 470 |
| 2018 Octubre | 40 | 140 | 180 |
| 2018 Septiembre | 12 | 82 | 94 |
| 2018 Agosto | 13 | 80 | 93 |
| 2018 Julio | 15 | 102 | 117 |
| 2018 Junio | 18 | 83 | 101 |
| 2018 Mayo | 15 | 64 | 79 |
| 2018 Abril | 21 | 115 | 136 |
| 2018 Marzo | 13 | 91 | 104 |
| 2018 Febrero | 10 | 70 | 80 |
| 2018 Enero | 12 | 61 | 73 |
| 2017 Diciembre | 18 | 140 | 158 |
| 2017 Noviembre | 19 | 197 | 216 |
| 2017 Octubre | 32 | 239 | 271 |
| 2017 Septiembre | 14 | 200 | 214 |
| 2017 Agosto | 15 | 178 | 193 |
| 2017 Julio | 16 | 162 | 178 |
| 2017 Junio | 15 | 173 | 188 |
| 2017 Mayo | 21 | 145 | 166 |
| 2017 Abril | 25 | 128 | 153 |
| 2017 Marzo | 13 | 240 | 253 |
| 2017 Febrero | 13 | 179 | 192 |
| 2017 Enero | 14 | 148 | 162 |
| 2016 Diciembre | 31 | 208 | 239 |
| 2016 Noviembre | 44 | 291 | 335 |
| 2016 Octubre | 52 | 220 | 272 |
| 2016 Septiembre | 149 | 353 | 502 |
| 2016 Agosto | 298 | 387 | 685 |
| 2016 Julio | 141 | 297 | 438 |
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