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Definición
Estado de crisis epilépticas recidivantes
Clasificación
*Focales:
- idiopáticos (p.ej. epilepsias parciales benignas de la infancia- la mayoría remiten en torno a los 14 años)
- sintomáticos (p.ej. epilepsias lesionales).
*Generalizados:
-idiopáticos (por ejemplo Epilepsias de Ausencias)
-sintomático (por ejemplo Síndrome de West).
*No definidas: convulsiones del recién nacido.
*Síndromes especiales: crisis febriles.
¿Cuándo y cómo se trata una crisis aguda?
El estatus epiléptico (>6 minutos) se trata con benzodiacepinas. Una crisis de menos duración no ha de tratarse
Farmacorresistencia en epilepsisa
2 FAEs > 1 año
Diagnóstico diferencial
- Síncope: factores desencadenantes, en bipedestación, progresivo.
- Ictus
- Hipoglucemia: diabéticos.
- Crisis psicógenas no epilépticas (CPNE): se muerden la punta de la lengua y en las crisis epilépticas la parte lateral. A veces la epilepsia y la CPNE no son patologías excluyentes.
Tratamiento
ácido valproico + LAVIRACETAM
Status Epilepticus
Crisis epiléptica de más de 5-10 minutos de duración
Tipos de Status Epilepticus
Convulsivos vs. no convulsivos