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Background&Objective: Status epilepticus (SE) is an emergency situation for the neurologist as for the critical care physician, because it is caused by a focal or by a generalized sever brain suffering. The aim of this study is determine of the etiology of SE, the causes of mortality and the efficancy of side- effect on the mortality of SE. Materials&Methods: In this retrospective and prospective study that was done in ICU department of Tabriz Imam Khomeini hospital (1990-04). 50 cases of mortality from 176 cases of SE were present. Informations were obtained by finding documented. Results: Acute mortality associated with SE in this study was 35.2%.Mortality rate in patient older than 60 years, in females, in Tonic- Clonic and in >1h SE was highest. Lead was the most important causes of SE and it's mortality (26/4%). Aspirative pneumonia was the most important complication of SE (48%). 28% of patients had previous epilepsy and 4% had pervious status epilepticus. The most common complication that effect on short term mortality was long infections. Conclusion: The mortality rate in this study is more than other studies that is in result of delay reference to therapeutic centers or insufficient acquaintance of personnel with correct management of SE. low antiepileptic drug level or give up their usage is the most common causes of mortality that is in result of high prevalence of them in SE's incidence.

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Background and Objective: Temporal lobe epilepsy is the most common type of epilepsy in human. Patients suffer from spontaneous seizures and memory deficiency. This study was done to assess the effect of Co-enzyme Q10 (CoQ10) administration on seizure, short-term spatial memory and stress oxidative indices in hippocampus of kainic acid-induced epilepsy. Methods: In this experimental study, 48 male rats were randomly allocated into six groups: sham-operated CoQ10 (10 mg/kg/bw)-treated SH kainate CoQ10 (2, 5 and 10 mg/kg/bw) treated kainic acid. CoQ10 was intraperitoneally administered daily for one week before intra-hippocampal injection of kainic acid (4µg/kg/bw) in animals. Results: Kainic acid induced chronic and acute spontaneous seizures in animals. Also, kainic acid administration caused a reduction in alternational behavior rate (consecutive or serially entrance into all of arms in triplet set), increasing of malondialdehide, nitrite level and decreasing of superoxide dismutase activity compared to sham group (P<0.05). Pre-treatment of kainate rats with CoQ10 decreased rate of spontaneous seizures (P<0.05). CoQ10 increased alternational behavior rate, decreased malondialdehide and nitrite serum level (P<0.05). But it had no significant effect on superoxide dismutase activity. Conclusion: Pre-treatment of kainic acid exposed rats with CoQ10 reduced rate of seizures and improved short-term spatial memory and oxidative stress indices in rats.

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Background and Objective: Epilepsy is a common neurological disorder. Plantago major (P.major) is used in traditional medicine due to flovonoids and vitamic C and antioxidant properties. This study was done to evaluate the hydro alcoholic extract of Plantago major L. on pentilentetrazol-induced seizures in male mice.

Methods: In this experimental study, 50 NMRI male mice randomly allocated into control and four experimental groups. Seizures in animals induced by 60 mg/kg/bw of pentilentetrazol (PTZ), interperitoneally. Animals in experimental groups were received 5, 10, 25 and 50 mg/kg/bw of hydro alcoholic extract of Plantago major L. 30 min before each PTZ injection. The animals in control group were received saline, interperitoneally. After treatment, the behavior of animals during 20 minutes and mortality rate were recorded.

Results: Seizure threshold of animals significantly increased in experimental groups which were received 50, 25, 10 mg/kg/bw of P.major extract in comparision with controls (P<0.05). Mortality rate of animals significantly reduced in experimental groups which were received 50, 25, 10 mg/kg/bw of P.major extract in comparision with controls (P<0.05).

Conclusion: The hydro-alcoholic extract of Plantago major L. reduces seizure threshold in pentilentetrazol-induced seizures mice.

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Background and Objective: Electro convulsion therapy (ECT) is one of the most common ways for treatment of psychiatric disorders. The aim of this study was to compare the effect of Propofol, Etomidate, and Thiopental on seizure and recovery duration following ECT.
Methods: In this clinical trial study, 90 patients diagnosed with a psychiatric disorder by a psychiatrist, who need to be treated by ECT in 5 Azar hospital, Gorgan, north Iran. The patients were randomly divided into the three groups by simple random allocation method. Interventions included standard monitoring and pre-oxygenation with 100% FiO2 for 3 minutes for all patients in three groups. Anesthesia of the patients in the first, second, and third group was done with Thiopental (1.5 mg/kg), Propofol (0.6 mg/kg), and Etomidate (0.1 mg/kg), respectively. Administration of Succinyl Colin (0.5 mg/kg) as muscle relaxant and Atropine for prevention of bradycardia was uesd in all patients. Duration of seizure and recovery; changes in hemodynamic status including heart rate (HR) and mean arterial pressure (MAP); and amount of charge for ECT were recorded for each subject.
Results: Mean of seizure duration in Thiopental, Propofol, and Etomidate groups were 43.72±11.81, 35.74±10.58 and 45.81±17.26 seconds, respectively (P<0.05). Amount of charge for ECT in 3 sessions of treatment and changes of HR were not different between the 3 groups. Changes of MAP in the Propofol group was significantly less than other two groups (P<0.05). Recovery time following ECT was the least in Etomidate group in comparison with Thiopental and Propofol (P<0.05).
Conclusion: Ethomidate and Thiopental had the same effect on increasing seizure duration. However, due to the significant reduction in recovery time compared with Thiopental, Ethomidate may be considered as the best choice.

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Background and Objective: Temporal lobe epilepsy is characterized by the degeneration of hippocampal neurons and the sprouting of mossy fibers in the dentate area. This study aimed to investigate the impact of the hydroalcoholic extract of Rosa damascene on hippocampal tissue changes induced by kainic acid-induced epilepsy in rats.
Methods: In this experimental study, 28 male Wistar rats weighing between 185-225 grams were used. The animals were divided into four groups: sham group, sham treated with hydroalcoholic extract, epilepsy (kainic acid), and epilepsy pretreated with hydroalcoholic extract. Kainic acid was used for intra-hippocampal and unilateral injection to induce epilepsy in the animals at 0.8 micrograms per rat. The rats were given 500 mg/kg of the extract intraperitoneally daily for one week before surgery. Five weeks after surgery, thionin and Tim staining methods were performed on the hippocampal slices.
Results: Kainic acid-induced epilepsy resulted in convulsive behavior, and pretreatment with the hydroalcoholic extract significantly reduced the intensity of convulsive attacks (P<0.05). The density of neurons in the CA3 area of the hippocampus in the kainic acid group showed a significant decrease compared to the sham group (P<0.05), while pretreatment with the extract caused a significant increase in the number of neurons in this area compared to the kainic acid group. Additionally, a significant increase in the intensity of mossy fiber sprouting was observed in epileptic rats compared to the sham group, and pretreatment with the extract significantly decreased its intensity (P<0.05).
Conclusion: The pre-treatment with the hydroalcoholic extract of Rosa damascena decreased convulsive behavior, protected hippocampal CA3 neurons and reduced the intensity of sprouting in the hippocampal dentate region in the experimental model of temporal lobe epilepsy induced by kainic acid.