Markers in Status Epilepticus Prognosis

J Clin Neurophysiol. 2020 Sep;37(5):422-428. doi: 10.1097/WNP.0000000000000761.

Abstract

Status epilepticus (SE) is a neurologic emergency with high morbidity and mortality. The assessment of a patient's prognosis is crucial in making treatment decisions. In this review, we discuss various markers that have been used to prognosticate SE in terms of recurrence, mortality, and functional outcome. These markers include demographic, clinical, electrophysiological, biochemical, and structural data. The heterogeneity of SE etiology and semiology renders development of prognostic markers challenging. Currently, prognostication in SE is limited to a few clinical scores. Future research should integrate clinical, genetic and epigenetic, metabolic, inflammatory, and structural biomarkers into prognostication models to approach "personalized medicine" in prognostication of outcomes after SE.

Publication types

  • Review

MeSH terms

  • Biomarkers / metabolism
  • Clinical Decision-Making / methods
  • Electroencephalography / methods*
  • Forecasting
  • Humans
  • Inflammation Mediators / metabolism*
  • Precision Medicine / methods
  • Prognosis
  • Recurrence
  • Status Epilepticus / diagnosis*
  • Status Epilepticus / metabolism*
  • Status Epilepticus / physiopathology

Substances

  • Biomarkers
  • Inflammation Mediators