Die Anwendung der Salzburg-Kriterien in der Diagnose des non-konvulsiven Status epilepticus

Zusammenfassung

Aufgrund oftmals nur subtiler motorischer Phänomene stellt die Diagnose des nicht-konvulsiven Status epilepticus (non-convulsive status epilepticus, NCSE) eine häufige Differentialdiagnose bei Patientinnen und Patienten mit Vigilanzminderung dar. Da eine frühe adäquate Therapie des NCSE mit einem besseren Therapieansprechen sowie funktionellen Outcome einhergeht, ist eine sichere und frühe diagnostische Sicherung von hoher Relevanz. Aufbauend auf den Ergebnissen des „London-Innsbruck Coloquium on Status Epilepticus and Acute Seizures“, welches 2013 in Salzburg stattfand, wurde von einer Expertengruppe ein Diagnosealgorithmus basierend auf elektroenzephalographischen und klinischen Kriterien entwickelt, der als „Salzburg-Kriterien“ bekannt ist. Über die letzten Jahre wurden diese Kriterien validiert und klinisch erprobt, teilweise aber auch hinsichtlich ihrer Anwendbarkeit kritisiert. Dieser Artikel erläutert die Salzburg-Kriterien und diskutiert potenzielle Fallstricke in der Anwendung.

Abstract

Due to often only subtle motor phenomena, the diagnosis of non-convulsive status epilepticus (NCSE) is a frequent differential diagnosis in patients with impaired vigilance. Since an early adequate therapy of NCSE is related to a better therapy response as well as functional outcome, a precise and early diagnostic verification is of high relevance. Based on the results of the “London-Innsbruck Coloquium on Status Epilepticus and Acute Seizures”, which took place in Salzburg in 2013, a group of experts developed a diagnostic algorithm based on electroencephalographic and clinical criteria, known as the “Salzburg Criteria”. Over the last years, these criteria have been clinically tested and established, but also partly criticized regarding their applicability. This article explains the Salzburg criteria and discusses potential pitfalls in their application.

Schlüsselwörter

Anfall - Epilepsie - Neurologie - Notfallmedizin - Elektroencephalographie

Key words

Seizure - Epilepsy - Neurology - Neurocritical Care - Electroencephalography

Publication History

Article published online:
07 December 2023

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