What are key concepts related to seizure/SE classification?
Seizures are classified as partial or generalized, involving either a part of one cerebral hemisphere or both cerebral hemispheres during the seizure. The most common type of seizure presentation is that of a partial onset seizure (ie an aura) that later generalizes. Nonconvulsive SE is classification that refers to a generalized seizure that does not involve tonic-clonic seizure activity. One type of nonconvulsive SE is seen in absence or complex partial SE, in which there are minimal motor manifestations of the seizure. The other type of nonconvulsive SE is “subtle” SE, which is a late manifestation of a prolonged generalized tonic-clonic seizure. This is a grave situation, one that is manifested by unresponsiveness and minimal partial motor activity (facial or finger twitching). Although benign in appearance, this type of SE must be aggressively diagnosed via EEG and treated, preferably prior to EEG confirmation, when able. What protocols for the ED treatment of seizure/SE patients
