According to their seizure patterns and EEG findings, status epilepticus can be divided into convulsive status epilepticus (CSE) and nonconvulsive status epilepticus (NCSE). Patients with NCSE have well-established EEG abnormalities without typical convulsive convulsions and only altered mental status or mild motor symptoms. Due to its atypical clinical symptoms, NCSE is prone to delayed diagnosis, misdiagnosis, or missed diagnosis, resulting in irreversible brain tissue damage, severe impairment of consciousness, function, and behavior, and even death in NCSE patients. It is of great significance to actively prevent seizures, identify symptoms early, and standardize treatment to improve the prognosis of NCSE patients. At present, there is no relevant standard and consensus on NCSE diagnosis and care. Here, we reported a patient with NCSE who admitted to the Epilepsy Center of Beijing Tiantan Hospital on June 21, 2024. After precise treatment and nursing, the patient's symptoms were well controlled, his condition was stable, and he was followed up for 1 month after discharge, and the prognosis was good. This case report aimed to provide some clinical suggestions to related disease.
Objective To investigate the current status of physical activity levels among children and adolescents with epilepsy and analyze the influencing factors. Methods A convenience sampling method was used to survey 60 children and adolescents with epilepsy who visited the Epilepsy Center of Shanghai Children's Hospital from May 2023 to September 2023. The International Physical Activity Questionnaire - Short Form was used to assess their physical activity levels. For potential influencing factors, the Montreal Cognitive Assessment Scale, Self - Rating Anxiety Scale, Self - Rating Depression Scale, and Quality of Life Scale for Adolescent Epilepsy Patients were employed for investigation. Demographic data and disease - related information were retrospectively collected from medical records. Results Sixty valid questionnaires were collected. The total physical activity metabolic equivalent of children and adolescents with epilepsy was 1080 (636, 2346) MET-min/week, which was much lower than the standard recommended by the WHO. There were 25 cases (41.7%) with low physical activity level, 23 cases (38.3%) with moderate physical activity level, and 12 cases (20%) with high physical activity level. Uni-variate analysis and ordinal logistic regression analysis showed that the duration of each seizure, attention, and self-rating depression scores of the children were important independent influencing factors for the physical activity level of children and adolescents with epilepsy (P<0.05). Conclusion Children and adolescents with epilepsy have a relatively low level of physical activity. Parents and schools should guide the children to allocate their attention reasonably. Medical staff should help the children actively control the onset of the disease, pay attention to epilepsy comorbid with attention deficit hyperactivity disorder, identify the depressive emotions of children with epilepsy in time, and strengthen the management of physical activities of children and adolescents with epilepsy, so as to promote active physical activities.