Nonconvulsive status epilepticus ,it prolonged seized that manifests primarily as altered mental status as opposed to the dramatic convulsions seen in generalized tonic-clonic status apilepticus.
It caused by psychogenic non-epileptic status. intoxication substance like lithium, tricyclics, tiagabine,etc. A distinct electroclinical evolution of prolonged seizure activity. In case EEG is not available then clinical improvement in close temporal relationship to acute anticonvulsant treatment is NCSE but missing response does not exclude diagnosis.
This disorder has rapid expanded from classical features like chewing, staring and automatism which includes coma, prolonged apnea, cardic arrest , dementia. There are some sign that is muscle spasms, falling, confusion, unusual noise , etc
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