TY - JOUR
T1 - Autonomic status epilepticus in panayiotopoulos syndrome and other childhood and adult epilepsies
T2 - A consensus view
AU - Ferrie, Colin D.
AU - Caraballo, Roberto
AU - Covanis, Athanasios
AU - Demirbilek, Veysi
AU - Dervent, Aysin
AU - Fejerman, Natalio
AU - Fusco, Lucia
AU - Grünewald, Richard A.
AU - Kanazawa, Osamu
AU - Koutroumanidis, Michael
AU - Lada, Christina
AU - Livingston, John H.
AU - Nicotra, Alessia
AU - Oguni, Hirokazu
AU - Martinovic, Zarko
AU - Nordli, Douglas R.
AU - Parisi, Pasquale
AU - Scott, Rod C.
AU - Specchio, Nicola
AU - Verrotti, Alberto
AU - Vigevano, Federico
AU - Walker, Matthew C.
AU - Watanabe, Kazuyoshi
AU - Yoshinaga, Harumi
AU - Panayiotopoulos, Chrysostomos P.
PY - 2007/6
Y1 - 2007/6
N2 - Purpose: To discuss and propose a definition of autonomic status epilepticus (SE), describe its clinical and EEG features, and review what is known about its epidemiology, pathophysiology, differential diagnosis, and management. Methods: An international consortium of established researchers in the field was identified from their published work, agreed the purpose of the project, searched the literature, and, by use of e-mail communication, agreed the consensus document. Results: Autonomic SE is a condition lasting at least 30 min and characterized by epileptic activity causing altered autonomic function of any type at seizure onset or in which manifestations consistent with altered autonomic function are prominent (quantitatively dominant or clinically important) even if not present at seizure onset. It is best described, and probably most commonly encountered in children, with Panayiotopoulos syndrome. However, it also occurs in children with symptomatic epilepsies and, exceptionally, in adults. Its pathogenesis and most appropriate management are poorly understood Conclusions: It is hoped that this document will help clinical recognition of Autonomic SE, reduce misdiagnosis, and promote further interest and studies into what has been a relatively neglected area.
AB - Purpose: To discuss and propose a definition of autonomic status epilepticus (SE), describe its clinical and EEG features, and review what is known about its epidemiology, pathophysiology, differential diagnosis, and management. Methods: An international consortium of established researchers in the field was identified from their published work, agreed the purpose of the project, searched the literature, and, by use of e-mail communication, agreed the consensus document. Results: Autonomic SE is a condition lasting at least 30 min and characterized by epileptic activity causing altered autonomic function of any type at seizure onset or in which manifestations consistent with altered autonomic function are prominent (quantitatively dominant or clinically important) even if not present at seizure onset. It is best described, and probably most commonly encountered in children, with Panayiotopoulos syndrome. However, it also occurs in children with symptomatic epilepsies and, exceptionally, in adults. Its pathogenesis and most appropriate management are poorly understood Conclusions: It is hoped that this document will help clinical recognition of Autonomic SE, reduce misdiagnosis, and promote further interest and studies into what has been a relatively neglected area.
KW - Autonomic nervous system
KW - Consensus statement
KW - Epilepsy
KW - Epileptic seizures
KW - Status epilepticus
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U2 - 10.1111/j.1528-1167.2007.01087.x
DO - 10.1111/j.1528-1167.2007.01087.x
M3 - Article
C2 - 17442005
AN - SCOPUS:34249795470
SN - 0013-9580
VL - 48
SP - 1165
EP - 1172
JO - Epilepsia
JF - Epilepsia
IS - 6
ER -