Support information on page: Classifying Seizures > Status epilepticus > Convulsive SE > Complications and prognosis
| Cardiac ||Hypertension, tachycardia (reversing after 30 minutes),|
arrhythmias, cardiac arrest
| Pulmonary ||Apnea, respiratory failure, hypoxia, neurogenic pulmonary|
edema, aspiration pneumonia
| Autonomic ||Fever, sweating, hypersecretion (including tracheobronchial),|
| Metabolic ||Hyperkalemia, hyperglycemia then hypoglycemia, volume depletion,|
venous stasis, possible thrombosis
| Endocrine ||Increased prolactin and cortisol|
| Other ||Leukocytosis, cerebrospinal fluid pleocytosis, vertebral|
and other fractures, physical injury, rhabdomyolysis, renal failure,
disseminated intravascular coagulation
|Cerebral ||Neuronal damage similar to that of hypoxia, hyperthermia:|
cortical layers 3 and 5, cerebellum, and hippocampus
|Cerebral edema, raised intracranial pressure|
|Cortical vein thrombosis|
|Neurologic sequelae ||Increased seizure frequency, recurrent status epilepticus|
|Decreased cognitive function (controversial)|
|Drug effects, increased exposure to anticonvulsants|
Adapted from: Drislane FW. Status epilepticus. In: Schachter SC, Schomer DL, eds. The comprehensive evaluation and treatment of epilepsy. San Diego, CA: Academic Press; 1997. p. 149-172.
With permission from Elsevier (www.elsevier.com).
Reviewed January 2004 by Thaddeus Walczak, MD, MINCEP® Epilepsy Care, Minneapolis, MN.