Seizures on the Adult Intensive Care Unit

  • Morgan Feely
  • Nicola Cooper
Part of the Competency-Based Critical Care book series (CBCC)

Key Points

  1. 1.

    Seizures are commonly encountered in the ICU. They can be provoked by acute illness, medicines, or alcohol

  2. 2.

    The causes of seizures tend to differ in different age groups

  3. 3.

    Tonic-clonic status epilepticus carries a significant mortality

  4. 4.

    Early and effective treatment is essential

  5. 5.

    EEG can distinguish between tonic-clonic status and NEAD and diagnose nonconvulsive status

  6. 6.

    Long-term treatment of epilepsy depends on the type of seizures and the characteristics of the patient – involve an expert



Status Epilepticus Juvenile Myoclonic Epilepsy Idiopathic Generalize Epilepsy Nonconvulsive Status Epilepticus Hypoxic Brain Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1. Guberman A, Bruni J (1999) Essentials of clinical epilepsy. Butterworth Heinemann, Boston, MAGoogle Scholar
  2. Hui A, Cheng C, Lam A et al (2005) Prognosis following postanoxic myoclonus status epilepticus. Eur Neurol 54:10–13CrossRefPubMedGoogle Scholar
  3. Manford M (2003) Practical guide to epilepsy. Butterworth Heinemann, Boston, MAGoogle Scholar
  4. NICE 2004 guidelines: The diagnosis and management of the epilepsies in adults and children in primary and secondary care.
  5. Panayiotopoulos C (2002) A clinical guide to epileptic syndromes and their treatment. Bladon Medical Publishing, Oxfordshire, UKGoogle Scholar
  6. Shorvon S (1994) Status epilepticus – its clinical features and treatment in children and adults. Cambridge University Press, UKCrossRefGoogle Scholar
  7. Walker M (2005) Clinical review. Status epilepticus: an evidence based guide. BMJ 331:673–77CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2010

Authors and Affiliations

  • Morgan Feely
    • 1
  • Nicola Cooper
    • 2
  1. 1.Department of Neurology Leeds General InfirmaryLeeds Teaching Hospitals NHS Trust Leeds General Infirmary LeedsUK
  2. 2.Leeds Teaching Hospitals NHS Trust Leeds General InfirmaryLeedsUK

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