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New-onset refractory status epilepticus

MedGen UID:
1657271
Concept ID:
C4749462
Disease or Syndrome
Synonyms: De novo cryptogenic refractory multifocal febrile status epilepticus; New onset refractory status epilepticus; new-onset refractory status epilepticus; NORSE; Norse; NORSE - new-onset refractory status epilepticus
SNOMED CT: New-onset refractory status epilepticus (770758009); NORSE - new-onset refractory status epilepticus (770758009)
 
Monarch Initiative: MONDO:0018199
Orphanet: ORPHA363558

Definition

An acute encephalopathy with inflammation-mediated status epilepticus characterised by an acute refractory status epilepticus, typically of the tonic-clonic type, following prodromal symptoms of confusion, fever, fatigue, headache, symptoms of gastrointestinal or upper respiratory tract infection, behavioural changes or hallucinations. Brain MRI abnormalities and abnormal findings in cerebrospinal fluid, including pleocytosis and/or elevated protein levels, are frequently found during acute episode. Treatment-resistant epilepsy, cognitive and psychiatric impairments are usual consequences. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • New-onset refractory status epilepticus

Professional guidelines

PubMed

Aydemir S, Kandula P
Seizure 2022 Jan;94:126-128. Epub 2021 Nov 26 doi: 10.1016/j.seizure.2021.11.020. PMID: 34896815
Hon KL, Leung AKC, Torres AR
Recent Pat Inflamm Allergy Drug Discov 2018;12(2):128-135. doi: 10.2174/1872213X12666180508122450. PMID: 29745347
Zaccara G, Giannasi G, Oggioni R, Rosati E, Tramacere L, Palumbo P; convulsive status epilepticus study group of the uslcentro Toscana, Italy
Seizure 2017 Apr;47:17-24. Epub 2017 Feb 28 doi: 10.1016/j.seizure.2017.02.015. PMID: 28282553

Recent clinical studies

Etiology

Stretti F, Bögli SY, Casagrande F, Eisele A, Galovic M, Keller E, Brandi G
Crit Care 2024 Mar 12;28(1):72. doi: 10.1186/s13054-024-04858-7. PMID: 38475798Free PMC Article
Lattanzi S, Leitinger M, Rocchi C, Salvemini S, Matricardi S, Brigo F, Meletti S, Trinka E
Eur J Neurol 2022 Feb;29(2):626-647. Epub 2021 Nov 2 doi: 10.1111/ene.15149. PMID: 34661330Free PMC Article
Gofton TE, Gaspard N, Hocker SE, Loddenkemper T, Hirsch LJ
Neurology 2019 Apr 23;92(17):802-810. Epub 2019 Mar 20 doi: 10.1212/WNL.0000000000007322. PMID: 30894443
Hirsch LJ, Gaspard N, van Baalen A, Nabbout R, Demeret S, Loddenkemper T, Navarro V, Specchio N, Lagae L, Rossetti AO, Hocker S, Gofton TE, Abend NS, Gilmore EJ, Hahn C, Khosravani H, Rosenow F, Trinka E
Epilepsia 2018 Apr;59(4):739-744. Epub 2018 Feb 5 doi: 10.1111/epi.14016. PMID: 29399791
Gaspard N, Foreman BP, Alvarez V, Cabrera Kang C, Probasco JC, Jongeling AC, Meyers E, Espinera A, Haas KF, Schmitt SE, Gerard EE, Gofton T, Kaplan PW, Lee JW, Legros B, Szaflarski JP, Westover BM, LaRoche SM, Hirsch LJ; Critical Care EEG Monitoring Research Consortium (CCEMRC)
Neurology 2015 Nov 3;85(18):1604-13. Epub 2015 Aug 21 doi: 10.1212/WNL.0000000000001940. PMID: 26296517Free PMC Article

Diagnosis

Benghanem S, Pruvost-Robieux E, Neligan A, Walker MC
Curr Opin Crit Care 2024 Apr 1;30(2):131-141. Epub 2024 Feb 13 doi: 10.1097/MCC.0000000000001137. PMID: 38441162
Hanin A, Cespedes J, Huttner A, Strelnikov D, Gopaul M, DiStasio M, Vezzani A, Hirsch LJ, Aronica E
J Neurol 2023 Aug;270(8):3688-3702. Epub 2023 Apr 20 doi: 10.1007/s00415-023-11726-x. PMID: 37079033
Specchio N, Pietrafusa N
Dev Med Child Neurol 2020 Aug;62(8):897-905. Epub 2020 May 5 doi: 10.1111/dmcn.14553. PMID: 32372459
Sculier C, Gaspard N
Seizure 2019 May;68:72-78. Epub 2018 Sep 29 doi: 10.1016/j.seizure.2018.09.018. PMID: 30482654
Hirsch LJ, Gaspard N, van Baalen A, Nabbout R, Demeret S, Loddenkemper T, Navarro V, Specchio N, Lagae L, Rossetti AO, Hocker S, Gofton TE, Abend NS, Gilmore EJ, Hahn C, Khosravani H, Rosenow F, Trinka E
Epilepsia 2018 Apr;59(4):739-744. Epub 2018 Feb 5 doi: 10.1111/epi.14016. PMID: 29399791

Therapy

Benghanem S, Pruvost-Robieux E, Neligan A, Walker MC
Curr Opin Crit Care 2024 Apr 1;30(2):131-141. Epub 2024 Feb 13 doi: 10.1097/MCC.0000000000001137. PMID: 38441162
Hanin A, Muscal E, Hirsch LJ
Epilepsia 2024 May;65(5):1203-1223. Epub 2024 Mar 2 doi: 10.1111/epi.17933. PMID: 38430119
Al-Chalabi M, Amsdell J, Iftikhar S, Hollingshead C, Rashid M, Sheikh A
Seizure 2022 Jan;94:112-114. Epub 2021 Dec 4 doi: 10.1016/j.seizure.2021.11.027. PMID: 34894438
Hon KL, Leung AKC, Torres AR
Recent Pat Inflamm Allergy Drug Discov 2018;12(2):128-135. doi: 10.2174/1872213X12666180508122450. PMID: 29745347
Patel NA, Jerry JM, Jimenez XF, Hantus ST
Psychosomatics 2017 Mar-Apr;58(2):180-186. Epub 2016 Oct 21 doi: 10.1016/j.psym.2016.10.006. PMID: 28366218

Prognosis

Benghanem S, Pruvost-Robieux E, Neligan A, Walker MC
Curr Opin Crit Care 2024 Apr 1;30(2):131-141. Epub 2024 Feb 13 doi: 10.1097/MCC.0000000000001137. PMID: 38441162
Hanin A, Cespedes J, Dorgham K, Pulluru Y, Gopaul M, Gorochov G, Hafler DA, Navarro V, Gaspard N, Hirsch LJ
Ann Neurol 2023 Jul;94(1):75-90. Epub 2023 Mar 17 doi: 10.1002/ana.26627. PMID: 36871188
Specchio N, Pietrafusa N
Dev Med Child Neurol 2020 Aug;62(8):897-905. Epub 2020 May 5 doi: 10.1111/dmcn.14553. PMID: 32372459
Sculier C, Gaspard N
Seizure 2019 May;68:72-78. Epub 2018 Sep 29 doi: 10.1016/j.seizure.2018.09.018. PMID: 30482654
Hon KL, Leung AKC, Torres AR
Recent Pat Inflamm Allergy Drug Discov 2018;12(2):128-135. doi: 10.2174/1872213X12666180508122450. PMID: 29745347

Clinical prediction guides

Jang Y, Ahn SH, Park KI, Jang BS, Lee HS, Bae JH, Lee Y, Sunwoo JS, Jun JS, Kim KT, Mon SY, You JH, Kim TJ, Shin H, Han D, Cho YW, Dubey D, Chu K, Lee SK, Lee ST
J Neurol Neurosurg Psychiatry 2024 Dec 16;96(1):26-37. doi: 10.1136/jnnp-2024-334285. PMID: 39237150
Benghanem S, Pruvost-Robieux E, Neligan A, Walker MC
Curr Opin Crit Care 2024 Apr 1;30(2):131-141. Epub 2024 Feb 13 doi: 10.1097/MCC.0000000000001137. PMID: 38441162
Hanin A, Cespedes J, Dorgham K, Pulluru Y, Gopaul M, Gorochov G, Hafler DA, Navarro V, Gaspard N, Hirsch LJ
Ann Neurol 2023 Jul;94(1):75-90. Epub 2023 Mar 17 doi: 10.1002/ana.26627. PMID: 36871188
Lattanzi S, Leitinger M, Rocchi C, Salvemini S, Matricardi S, Brigo F, Meletti S, Trinka E
Eur J Neurol 2022 Feb;29(2):626-647. Epub 2021 Nov 2 doi: 10.1111/ene.15149. PMID: 34661330Free PMC Article
Gaspard N, Foreman BP, Alvarez V, Cabrera Kang C, Probasco JC, Jongeling AC, Meyers E, Espinera A, Haas KF, Schmitt SE, Gerard EE, Gofton T, Kaplan PW, Lee JW, Legros B, Szaflarski JP, Westover BM, LaRoche SM, Hirsch LJ; Critical Care EEG Monitoring Research Consortium (CCEMRC)
Neurology 2015 Nov 3;85(18):1604-13. Epub 2015 Aug 21 doi: 10.1212/WNL.0000000000001940. PMID: 26296517Free PMC Article

Recent systematic reviews

Vaingankar A, Agarwal A, Garg D, Gupta P, Garg A, Radhakrishnan DM, Pandit AK, Srivastava AK
J Neuroimmunol 2025 Feb 15;399:578522. Epub 2025 Jan 8 doi: 10.1016/j.jneuroim.2025.578522. PMID: 39799767
Tharmaraja T, Ho JSY, Neligan A, Rajakulendran S
Epilepsia 2023 May;64(5):1113-1124. Epub 2023 Mar 21 doi: 10.1111/epi.17523. PMID: 36727541
Nabizadeh F, Balabandian M, Sodeifian F, Rezaei N, Rostami MR, Naser Moghadasi A
Mult Scler Relat Disord 2022 Jun;62:103795. Epub 2022 Apr 6 doi: 10.1016/j.msard.2022.103795. PMID: 35472834Free PMC Article
Lattanzi S, Leitinger M, Rocchi C, Salvemini S, Matricardi S, Brigo F, Meletti S, Trinka E
Eur J Neurol 2022 Feb;29(2):626-647. Epub 2021 Nov 2 doi: 10.1111/ene.15149. PMID: 34661330Free PMC Article

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