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Reply from the Authors: We can understand some reluctance to accept our finding that complex partial status epilepticus (CPSE) can be accompanied by serious morbidity and mortality. Our series of 10 such patients is the largest to date. [1] Drs. Cockerell et al [2] recently reported a series of 20 patients with CPSE, none of whom demonstrated cognitive or neurologic decline. Still, we hold that our conclusions are appropriate. Indeed, the major question raised is not whether CPSE can be associated with serious morbidity or mortality, as we conclude, but rather how commonly this occurs.
Since our study was a retrospective observational study, we cannot determine the exact incidence, but we can make some presumptions. For example, complications with CPSE are not as common as after convulsive status epilepticus. We identified only 10 such patients over 10 years, combining …
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