vitamin level in status epilepticus

Q: Which of the following vitamin levels is suggested to be checked in a patient with status epilepticus? (select one)

A) Vitamin B6

B) vitamin B12

Answer: A

It is observed that patients with low or low-normal pyridoxine (vitamin B6) levels are prone to stay in status epilepticus. 

Other investigations which are suggested are serum glucose, serum electrolytes, calcium, phosphorus, magnesium, liver function tests (LFTs), complete blood count (CBC), serum anti-seizure medications level (if the patient is on it), urine and blood toxicology, pregnancy test (in reproductive age female patients), lactate and troponin level.

#neurology

References:

1. Dave HN, Eugene Ramsay R, Khan F, et al. Pyridoxine deficiency in adult patients with status epilepticus. Epilepsy Behav 2015; 52:154.

2. Hocker S, Prasad A, Rabinstein AA. Cardiac injury in refractory status epilepticus. Epilepsia 2013; 54:518.