Tags

Type your tag names separated by a space and hit enter

Nonconvulsive status epilepticus in peritoneal dialysis patients.
Am J Kidney Dis. 2001 Aug; 38(2):400-5.AJ

Abstract

This report describes nonconvulsive status epilepticus (NCSE) in four patients with end-stage renal disease (ESRD) on peritoneal dialysis therapy. All patients presented with acute confusion or stuporous state without clinical motor seizures. Three patients had active systemic infections and were being administered antibiotics. Diagnoses were confirmed in all cases by electroencephalogram (EEG), which showed characteristic diffuse sharp waves and spikes. The EEG appearance improved after anticonvulsant therapy. All patients had satisfactory control of their electrical seizure activity and made varying degrees of mental recovery. To our knowledge, this is the first reported series of NCSE in patients with ESRD on peritoneal dialysis therapy. It shows NCSE as a differential diagnosis for acute confusion. We emphasize the need for nephrologists to consider NCSE as a differential diagnosis for uremic encephalopathy.

Links

Publisher Full Text

Authors+Show Affiliations

Chow KM
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Wang AY
No affiliation info available
Hui AC
No affiliation info available
Wong TY
No affiliation info available
Szeto CC
No affiliation info available
Li PK
No affiliation info available

MeSH

AgedConfusionDiagnosis, DifferentialElectroencephalographyFemaleHumansKidney Failure, ChronicPeritoneal Dialysis, Continuous AmbulatoryStatus Epilepticus

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11479169

Citation

Chow, K M., et al. "Nonconvulsive Status Epilepticus in Peritoneal Dialysis Patients." American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, vol. 38, no. 2, 2001, pp. 400-5.
Chow KM, Wang AY, Hui AC, et al. Nonconvulsive status epilepticus in peritoneal dialysis patients. Am J Kidney Dis. 2001;38(2):400-5.
Chow, K. M., Wang, A. Y., Hui, A. C., Wong, T. Y., Szeto, C. C., & Li, P. K. (2001). Nonconvulsive status epilepticus in peritoneal dialysis patients. American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation, 38(2), 400-5.
Chow KM, et al. Nonconvulsive Status Epilepticus in Peritoneal Dialysis Patients. Am J Kidney Dis. 2001;38(2):400-5. PubMed PMID: 11479169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nonconvulsive status epilepticus in peritoneal dialysis patients. AU - Chow,K M, AU - Wang,A Y, AU - Hui,A C, AU - Wong,T Y, AU - Szeto,C C, AU - Li,P K, PY - 2001/8/2/pubmed PY - 2001/8/10/medline PY - 2001/8/2/entrez SP - 400 EP - 5 JF - American journal of kidney diseases : the official journal of the National Kidney Foundation JO - Am J Kidney Dis VL - 38 IS - 2 N2 - This report describes nonconvulsive status epilepticus (NCSE) in four patients with end-stage renal disease (ESRD) on peritoneal dialysis therapy. All patients presented with acute confusion or stuporous state without clinical motor seizures. Three patients had active systemic infections and were being administered antibiotics. Diagnoses were confirmed in all cases by electroencephalogram (EEG), which showed characteristic diffuse sharp waves and spikes. The EEG appearance improved after anticonvulsant therapy. All patients had satisfactory control of their electrical seizure activity and made varying degrees of mental recovery. To our knowledge, this is the first reported series of NCSE in patients with ESRD on peritoneal dialysis therapy. It shows NCSE as a differential diagnosis for acute confusion. We emphasize the need for nephrologists to consider NCSE as a differential diagnosis for uremic encephalopathy. SN - 1523-6838 UR - https://www.unboundmedicine.com/medline/citation/11479169/Nonconvulsive_status_epilepticus_in_peritoneal_dialysis_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0272-6386(01)82832-8 DB - PRIME DP - Unbound Medicine ER -