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Treatment strategies in the postictal state
Gregory Krauss1, William H Theodore
1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. gkrauss@jhmi.edu
Epilepsy & Behavior : E&B
|August 20, 2010
Summary
Postictal behaviors after seizures, including delirium and psychosis, require specialized assessment and management. Training medical staff is crucial for safely handling these postictal states and identifying underlying causes.
Area of Science:
- Neurology
- Psychiatry
Background:
- Postictal behaviors and symptoms necessitate specialized assessment and treatment.
- Agitation and confusion are common postictal manifestations requiring careful management.
- Understanding risk factors for postictal delirium and psychosis is essential.
Purpose of the Study:
- To review risk factors for postictal delirium and psychosis.
- To outline management strategies for agitated and confused postictal behaviors.
- To emphasize the need for staff training in managing postictal states.
Main Methods:
- Review of literature on postictal behaviors, delirium, and psychosis.
- Analysis of risk factors and management approaches.
- Discussion of treatment considerations for postictal states.
Main Results:
- Postictal delirium and psychosis present significant management challenges.
- Careful training for medical and emergency staff is vital for patient safety during postictal confusion.
- Recognition of underlying neurological and systemic disorders is key to treatment.
- Optimal treatments for seizure-related psychosis remain incompletely understood.
Conclusions:
- Postictal behaviors, including delirium and psychosis, can typically be managed safely with appropriate strategies.
- Effective management hinges on recognizing underlying conditions like metabolic disorders and nonconvulsive seizures.
- Further research is needed to elucidate causes and optimal treatments for seizure-related psychosis.
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