Hospital Universitario Ramón y Cajal, Madrid, Spain.
Clin EEG Neurosci. 2021 Nov;52(6):422-426. doi: 10.1177/1550059421991710. Epub 2021 Feb 9.
. Non-convulsive status epilepticus (NCSE) has been traditionally a challenging electroencephalographic (EEG) diagnosis. For this reason, Salzburg consensus criteria (SCC) have been proposed to facilitate correct diagnosis. . We retrospectively reanalyzed 41 cases referred to our department (from 2016 to 2018) under the suspicion of NCSE. In this study, we compared the original description (standard criteria) versus the updated description (SCC) of the same EEG. . Originally, 15 patients were diagnosed as NCSE (37%) and 26 patients as no NCSE (63%), using the standard criteria. Then, we analyzed EEGs according to the SCC, which led to the following results: 9 patients fulfilled the criteria for definite NCSE (22%), 20 patients were diagnosed as possible NCSE (49%) and 12 patients were diagnosed as no NCSE (29%). Subsequently, when we analyze the outcome of possible NCSE cases, we note that 50% of these patients presented mild-poor outcome (neurological deficits, deceased). Indeed, we observed worse outcomes in patients previously diagnosed as no NCSE and untreated, specifically post-anoxic cases. . Salzburg criteria seem to be a useful tool to support NCSE diagnosis, introducing the category of possible NCSE. In our study, we observed that it contributes to improving the prognosis and management of the patients. However, more prospective studies are needed to demonstrate the accuracy of SCC.
. 非惊厥性癫痫持续状态（NCSE）一直是一种具有挑战性的脑电图（EEG）诊断。出于这个原因，提出了萨尔斯堡共识标准（SCC）来帮助正确诊断。. 我们回顾性地重新分析了 41 例在我院（2016 年至 2018 年）就诊的疑似 NCSE 患者的病例。在这项研究中，我们比较了同一 EEG 的原始描述（标准标准）与更新描述（SCC）。. 最初，15 名患者被诊断为 NCSE（37%），26 名患者被诊断为非 NCSE（63%），使用标准标准。然后，我们根据 SCC 分析 EEG，结果如下：9 名患者符合明确 NCSE 的标准（22%），20 名患者被诊断为可能的 NCSE（49%），12 名患者被诊断为非 NCSE（29%）。随后，当我们分析可能的 NCSE 病例的结果时，我们注意到这些患者中有 50%的预后不良（神经功能缺损，死亡）。事实上，我们观察到未被诊断为非 NCSE 和未经治疗的患者，特别是缺氧后患者的预后更差。. 萨尔斯堡标准似乎是支持 NCSE 诊断的有用工具，引入了可能的 NCSE 类别。在我们的研究中，我们观察到它有助于改善患者的预后和管理。然而，需要更多的前瞻性研究来证明 SCC 的准确性。
