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Emergency Management in
Chronic Neurologic Disease

                 Tipa Chak orn, M D .
          Faculty of M edicine, Siriraj
                             H ospital
Chronic neurologic disease
หญง 48 ป พดคยรเรอง มอาการลกษณะนครงแรก
Provoked factor

• Metabolic: hyper-hypoglycemia, hyponatremia, hypoxia
• Drug withdrawal: AEDs, Sedative drugs (BZDs, Alcohol)
• Drug intoxication: Aminophylline, TCA
• Unprovoked seizure
• Clinical diagnosis
  – Partial seizure: simple partial seizure, complex partial
    seizure
  – Generalized seizure: GTC, Tonic seizure, Clonic
    seizure, Myotonic seizure, absence etc.
• Investigation: Imaging, EEG
• Treatment
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease
Emergency management in chronic neurologic disease

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Emergency management in chronic neurologic disease

  • 1. Emergency Management in Chronic Neurologic Disease Tipa Chak orn, M D . Faculty of M edicine, Siriraj H ospital
  • 3. หญง 48 ป พดคยรเรอง มอาการลกษณะนครงแรก
  • 4. Provoked factor • Metabolic: hyper-hypoglycemia, hyponatremia, hypoxia • Drug withdrawal: AEDs, Sedative drugs (BZDs, Alcohol) • Drug intoxication: Aminophylline, TCA
  • 5. • Unprovoked seizure • Clinical diagnosis – Partial seizure: simple partial seizure, complex partial seizure – Generalized seizure: GTC, Tonic seizure, Clonic seizure, Myotonic seizure, absence etc. • Investigation: Imaging, EEG • Treatment