Practical management of epileptic seizures and status epilepticus in adult palliative care patients

In terminally ill patients, paroxysmal or episodic changes of consciousness, movements and behavior are frequent. Due to ambiguous appearance, the correct diagnosis of epileptic seizures (ES) and non-epileptic events (NEE) is often difficult. Treatment is frequently complicated by the underlying condition, and an approach indicated in healthier patients may not always be appropriate in the palliative care setting. This article provides recommendations for diagnosis of ES and NEE and treatment options for ES in adult palliative care patients, including aspects of alternative administration routes for antiepileptic drugs such as intranasal, subcutaneous, or rectal application.

Metadaten
Author:	Wenke Grönheit ORCiD GND, Stoyan Popkirov ORCiD GND, Tim Wehner ORCiD GND, Uwe Schlegel GND, Jörg Wellmer ORCiD GND
URN:	urn:nbn:de:hbz:294-63561
DOI:	https://doi.org/10.3389/fneur.2018.00595
Parent Title (English):	Frontiers in neurology
Document Type:	Article
Language:	English
Date of Publication (online):	2019/03/28
Date of first Publication:	2018/08/02
Publishing Institution:	Ruhr-Universität Bochum, Universitätsbibliothek
Tag:	Open Access Fonds; end of life; epilepsy; epileptic seizures; non-convulsive status; palliative care; status epilepticus
Volume:	9
First Page:	595-1
Last Page:	595-8
Note:	Frontiers in neurology ; Bd. 9.2018, Artikelnummer 595
Note:	Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum.
Institutes/Facilities:	Knappschaftskrankenhaus Bochum, Klinik für Neurologie, Epilepsiezentrum
Dewey Decimal Classification:	Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):	open_access
faculties:	Medizinische Fakultät
Licence (English):	Creative Commons - CC BY 4.0 - Attribution 4.0 International

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