Seizures - non-convulsive status epilepticus
Red flags
- Persistently altered consciousness after a convulsive seizure should have stopped - the single commonest trigger for suspicion
- Fluctuating confusion/behaviour change in ICU or post-operative patients
- Unexplained coma, especially after any convulsive event or in a critically ill patient
- Subtle motor signs - eyelid fluttering, nystagmoid eye movements, facial/limb twitching easily missed on a brief review
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