title: Nonconvulsive status epilepticus: high incidence in dialysis-dependent patients.
abstract: Nonconvulsive status epilepticus is defined as a mental status change from baseline of at least a 30-min duration associated with constant or near-continuous ictal discharges on an electroencephalogram (EEG). Nonconvulsive status epilepticus is an often-overlooked diagnosis as a cause of acute confusional state. There are few case reports in dialysis patients. We are reporting 5 patients on chronic dialysis treatment who presented with an acute confusional state. Nonconvulsive status epilepticus was diagnosed by EEG and response to intravenous benzodiazepines. We recommend early EEG to be considered in the evaluation of dialysis patients with an acute confusional state.
authors.affiliation: Division of Nephrology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
authors.forename: Sheikh
authors.initials: S
authors.lastname: Iftikhar
authors.forename: Said
authors.initials: S
authors.lastname: Dahbour
authors.forename: Siddiqi
authors.initials: S
authors.lastname: Nauman
mesh_terms: D000208:Acute Disease; D000368:Aged; D001569:Benzodiazepines / Q000008:administration & dosage; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D012307:Risk Factors; D013226:Status Epilepticus / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D001569:Benzodiazepines