Nonconvulsive status epilepticus recognition
Educational use only. Not clinically reviewed72-year-old woman for calm nonconvulsive-status suspicion, urgent qualified EEG ownership, report review, and active-risk handoff. About 7 simulated minutes.
What you will practise
- Reconcile the supplied clock, fluctuating cognition and language, subtle recurrent signs, physiology, and whole-patient state.
- Recognize a nonconvulsive-seizure suspicion and urgent EEG boundary without diagnosing NCSE clinically.
- Activate qualified neurology, EEG, resuscitation, and airway-capable ownership.
- Review airway, glucose, vascular, metabolic, toxic, infectious, medication, and delirium alternatives in parallel.
- At a strict later report, review the qualified EEG conclusion with the clinical trajectory.
- After another elapsed interval, hand off reported electrographic status, cause, treatment, recurrence, airway, and active risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Herman ST, Abend NS, Bleck TP, et al. Consensus Statement on Continuous EEG in Critically Ill Adults and Children, Part I: Indications. J Clin Neurophysiol. 2015;32:87-95. doi:10.1097/WNP.0000000000000166.
- Hirsch LJ, Fong MWK, Leitinger M, et al. American Clinical Neurophysiology Society Standardized Critical Care EEG Terminology: 2021 Version. J Clin Neurophysiol. 2021;38:1-29. doi:10.1097/WNP.0000000000000806.
- Leitinger M, Trinka E, Gardella E, et al. Diagnostic accuracy of the Salzburg EEG criteria for non-convulsive status epilepticus. Lancet Neurol. 2016;15:1054-1062. doi:10.1016/S1474-4422(16)30137-5.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.