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C3 - Status Epilepticus

Event Time: Saturday April 22, 2017 8:00 am to 10:00 am
Topic(s): Epilepsy/Clinical Neurophysiology (EEG)
Director(s): Frank Drislane MD, FAAN
Description: While generalized convulsive status epilepticus (GCSE) is relatively easily diagnosed, recognition of nonconvulsive SE is often poor, especially in medically and neurologically ill patients in ICUs. Diagnosis of SE requires knowledge of many clinical syndromes. This course will review many different etiologies and presentations of status epilepticus (SE), including convulsive, nonconvulsive, and myoclonic SE—each of which must be evaluated and treated differently. There will be plenty of information on the proper interpretation of EEGs in the diagnosis of SE, including during prolonged EEG monitoring in the ICU. Management of SE has become more complicated than simply choosing 'the' drug for convulsive SE. Detailed description will be given of the remarkably varied treatments that are emerging for the most refractory SE cases.
Completion Message: Participants should be able to diagnose status epilepticus in urgent and unusual presentations; integrate clinical and EEG findings to make a correct diagnosis; recognize and treat cases of nonconvulsive status, avoiding both under-recognition and over-treatment; have a command of the utility and practicalities of EEG monitoring in the management of SE in very ill ICU patients; and utilize several more “aggressive” treatments effectively for the most refractory SE cases.
CME Credits: 2
Core Competencies: Interpersonal and Communication Skills, Medical Knowledge, Patient Care, Practice-Based Learning and Improvement

Program Speakers - Tentative

Start/End Time Title Faculty
8:00 AM - 8:05 AM Introduction Frank Drislane MD, FAAN 
8:05 AM - 8:40 AM Nonconvulsive and Unusual Forms of Status Epilepticus Frank Drislane MD, FAAN 
8:40 AM - 9:15 AM Use and Interpretation of EEG Monitoring for Seizures and Status Epilepticus in the ICU Lawrence Hirsch MD, FAAN 
9:15 AM - 9:50 AM Treatment of Refractory Status Epilepticus Stephan Schuele MD, FAAN 
9:50 AM - 10:00 AM Questions and Answers Faculty 

Disclosures

Speaker Disclosure
Frank W. Drislane, MD, FAAN Dr. Drislane has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with LWW.

Lawrence J. Hirsch, MD, FAAN In the past year, Dr. Hirsch: received consulting fees from Ceribell, Marinus, Monteris, Neuropace, Sun Pharma, Sunovion, and Upsher-Smith; and honoraria for speaking from Neuropace; Research support to Yale for investigator-initiated studies from Acorda, Eisai, Lundbeck, Sunovion and Upsher-Smith..

Stephan Schuele, MD, FAAN Dr. Schuele has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with Sunovion, UCB and Eisai.

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