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PEARLS

• Nonconvulsive SE should be considered in any patient who remains unresponsive following termination of overt seizure activity.
• Nonconvulsive SE should also be considered in any case of unexplained coma, even in absence of a history of seizure activity.
• EEG is usually required to make the diagnosis of nonconvulsive SE.
• Most cases of SE that require treatment with midazolam, propofol, or phenobarbital should ideally have continuous EEG and invasive hemodynamic monitoring in an intensive care unit setting.

The Harrison's Practice Preview allows you to view 5 FREE complete topics or conduct a search that delivers abstracts for more than 450 medical topics. For full access, please subscribe today!