New-Onset Refractory Status Epilepticus (NORSE)

<p id="p1">New-onset refractory status epilepticus (NORSE) is defined as refractory status epilepticus without an obvious cause after initial investigations; &ldquo;Initial&rdquo; means 24 to 48&nbsp;hours, to exclude stroke, other structural brain damage, drug overdoses and herpetic encephalitis. I...

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Autores principales: Melykian, Gayane, Ibrahim, Faisal, Alarcon, Gonzalo, Haddad, Naim, Hail, Hassan Al, Deleu, Dirk, Sheikh, Lubna El, Nofal, Yazan, Mesraoua, Boulenouar
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Lenguaje:inglés
Publicado: IntechOpen 2024
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Acceso en línea:https://www.intechopen.com/chapters/78521
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author Melykian, Gayane
Ibrahim, Faisal
Alarcon, Gonzalo
Haddad, Naim
Hail, Hassan Al
Deleu, Dirk
Sheikh, Lubna El
Nofal, Yazan
Mesraoua, Boulenouar
author_browse Alarcon, Gonzalo
Deleu, Dirk
Haddad, Naim
Hail, Hassan Al
Ibrahim, Faisal
Melykian, Gayane
Mesraoua, Boulenouar
Nofal, Yazan
Sheikh, Lubna El
author_facet Melykian, Gayane
Ibrahim, Faisal
Alarcon, Gonzalo
Haddad, Naim
Hail, Hassan Al
Deleu, Dirk
Sheikh, Lubna El
Nofal, Yazan
Mesraoua, Boulenouar
author_sort Melykian, Gayane
building IntechOpen
collection Acceso abierto
description <p id="p1">New-onset refractory status epilepticus (NORSE) is defined as refractory status epilepticus without an obvious cause after initial investigations; &ldquo;Initial&rdquo; means 24 to 48&nbsp;hours, to exclude stroke, other structural brain damage, drug overdoses and herpetic encephalitis. In the state of refractory status epilepticus (ES), patient suffers from repeated epileptic seizures without recovery of consciousness in between (Status epilepticus); these seizures do not respond to standard antiseizure medications (this refers to &ldquo;refractory&rdquo;). Recent studies suggest that these crises could be caused by an excess of pro-inflammatory molecules following a viral infection of the brain; however no evidence confirming this hypothesis has been demonstrated to date. Patients with NORSE are in the vast majority treated in intensive care units for several weeks or even months; despite the use of aggressive treatments such as therapeutic coma, and also immunotherapy, patients with NORSE face a high rate of complications and mortality; however a significant proportion of them eventually recover. NORSE survivors frequently suffer from epilepsy and cognitive impairment, a small minority eventually return to a normal lifestyle.</p>
doi_str_mv 10.5772/intechopen.99004
first_indexed 2026-10-15T21:39:14Z
format Book Chapter
fullrecord <oai_dc:dc xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><identifier>intech-78521</identifier><datestamp>2024-11-20</datestamp> <dc:title>New-Onset Refractory Status Epilepticus (NORSE)</dc:title> <dc:creator>Gayane Melykian</dc:creator> <dc:creator>Faisal Ibrahim</dc:creator> <dc:creator>Gonzalo Alarcon</dc:creator> <dc:creator>Naim Haddad</dc:creator> <dc:creator>Hassan Al Hail</dc:creator> <dc:creator>Dirk Deleu</dc:creator> <dc:creator>Lubna El Sheikh</dc:creator> <dc:creator>Yazan Nofal</dc:creator> <dc:creator>Boulenouar Mesraoua</dc:creator> <dc:subject>Health Sciences</dc:subject> <dc:description>&lt;p id="p1"&gt;New-onset refractory status epilepticus (NORSE) is defined as refractory status epilepticus without an obvious cause after initial investigations; &amp;ldquo;Initial&amp;rdquo; means 24 to 48&amp;nbsp;hours, to exclude stroke, other structural brain damage, drug overdoses and herpetic encephalitis. In the state of refractory status epilepticus (ES), patient suffers from repeated epileptic seizures without recovery of consciousness in between (Status epilepticus); these seizures do not respond to standard antiseizure medications (this refers to &amp;ldquo;refractory&amp;rdquo;). Recent studies suggest that these crises could be caused by an excess of pro-inflammatory molecules following a viral infection of the brain; however no evidence confirming this hypothesis has been demonstrated to date. Patients with NORSE are in the vast majority treated in intensive care units for several weeks or even months; despite the use of aggressive treatments such as therapeutic coma, and also immunotherapy, patients with NORSE face a high rate of complications and mortality; however a significant proportion of them eventually recover. NORSE survivors frequently suffer from epilepsy and cognitive impairment, a small minority eventually return to a normal lifestyle.&lt;/p&gt;</dc:description> <dc:publisher>IntechOpen</dc:publisher> <dc:date>2024-11-20</dc:date> <dc:type>Chapter, Part Of Book</dc:type> <dc:identifier>https://www.intechopen.com/chapters/78521</dc:identifier> <dc:identifier>doi:10.5772/intechopen.99004</dc:identifier> <dc:language>en</dc:language> <dc:relation>ISBN:978-1-83968-985-7</dc:relation> <dc:rights>https://creativecommons.org/licenses/by/3.0/</dc:rights> <dc:source>https://www.intechopen.com/books/10623 ; Status Epilepticus - Recent Advances in Epidemiology, Electroencephalography, Etiology, Diagnosis, and Treatment in Adults and Children</dc:source> </oai_dc:dc>
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isbn 978-1-83968-985-7
language English
last_indexed 2026-10-15T21:39:14Z
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spelling intech-785212024-11-20 New-Onset Refractory Status Epilepticus (NORSE) Gayane Melykian Faisal Ibrahim Gonzalo Alarcon Naim Haddad Hassan Al Hail Dirk Deleu Lubna El Sheikh Yazan Nofal Boulenouar Mesraoua Health Sciences <p id="p1">New-onset refractory status epilepticus (NORSE) is defined as refractory status epilepticus without an obvious cause after initial investigations; &ldquo;Initial&rdquo; means 24 to 48&nbsp;hours, to exclude stroke, other structural brain damage, drug overdoses and herpetic encephalitis. In the state of refractory status epilepticus (ES), patient suffers from repeated epileptic seizures without recovery of consciousness in between (Status epilepticus); these seizures do not respond to standard antiseizure medications (this refers to &ldquo;refractory&rdquo;). Recent studies suggest that these crises could be caused by an excess of pro-inflammatory molecules following a viral infection of the brain; however no evidence confirming this hypothesis has been demonstrated to date. Patients with NORSE are in the vast majority treated in intensive care units for several weeks or even months; despite the use of aggressive treatments such as therapeutic coma, and also immunotherapy, patients with NORSE face a high rate of complications and mortality; however a significant proportion of them eventually recover. NORSE survivors frequently suffer from epilepsy and cognitive impairment, a small minority eventually return to a normal lifestyle.</p> IntechOpen 2024-11-20 Chapter, Part Of Book https://www.intechopen.com/chapters/78521 doi:10.5772/intechopen.99004 en ISBN:978-1-83968-985-7 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/10623 ; Status Epilepticus - Recent Advances in Epidemiology, Electroencephalography, Etiology, Diagnosis, and Treatment in Adults and Children
spellingShingle Health Sciences
Melykian, Gayane
Ibrahim, Faisal
Alarcon, Gonzalo
Haddad, Naim
Hail, Hassan Al
Deleu, Dirk
Sheikh, Lubna El
Nofal, Yazan
Mesraoua, Boulenouar
New-Onset Refractory Status Epilepticus (NORSE)
title New-Onset Refractory Status Epilepticus (NORSE)
title_full New-Onset Refractory Status Epilepticus (NORSE)
title_fullStr New-Onset Refractory Status Epilepticus (NORSE)
title_full_unstemmed New-Onset Refractory Status Epilepticus (NORSE)
title_short New-Onset Refractory Status Epilepticus (NORSE)
title_sort new onset refractory status epilepticus norse
topic Health Sciences
url https://www.intechopen.com/chapters/78521
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