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Focal Status Epilepticus

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Status Epilepticus

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Focal status epilepticus (FSE) is a condition in which there is an electrically discrete, continuously discharging epileptic disturbance of the brain associated with a definable neurological deficit or behavioral correlate. Its clinical features depend entirely on the region of cortex involved. When FSE involves an area of the brain responsible for motor activity, focal motor status epilepticus (also known as epilepsia partialis continua, or EPC) is present. This chapter begins by reviewing the classification system and epidemiology of FSE. There are many potential etiologies of FSE, representing a diverse array of central nervous system disorders. The pathophysiology of FSE is only partially understood, but some possible explanations are presented. The clinical semiology, associated electroencephalographic and radiological findings, and differential diagnosis of FSE are discussed in detail. Finally, the available treatment options for FSE, which include medications, surgery, and noninvasive brain stimulation, are reviewed.

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Authors and Affiliations

  1. Comprehensive Epilepsy Center, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Kirstein 457, Boston, MA, 02215, USA

    Lisa Knopf & Bernard S. Chang

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  1. Lisa Knopf
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  2. Bernard S. Chang
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Correspondence to Bernard S. Chang .

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Editors and Affiliations

  1. Department of Neurology, Harvard Medical School, Comprehensive Epilepsy Center, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA

    Frank W. Drislane

  2. Department of Neurology, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA

    Peter W. Kaplan MBBS

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Knopf, L., Chang, B.S. (2018). Focal Status Epilepticus. In: Drislane, F., Kaplan MBBS, P. (eds) Status Epilepticus. Current Clinical Neurology. Springer, Cham. https://doi.org/10.1007/978-3-319-58200-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-58200-9_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-58198-9

  • Online ISBN: 978-3-319-58200-9

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