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Nonconvulsive Status Epilepticus: Overlooked and Undertreated
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Nonconvulsive status epilepticus (NCSE) presents with persistent alteration in behavior or consciousness without convulsions, though subtle motor signs such as twitching or blinking may be present.
There are 3 categories of NCSE: simple partial status epilepticus, complex partial status epilepti-cus, and absence status epilepticus.
The only symptom seen consistently in NCSE is altered mental status, which can range from mild confusion to obtundation.
NCSE often remains undiagnosed by psychiatrists and emergency clinicians due to failure to consider the diagnosis and lack of emergent electroencephalography (EEG).