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