Sepsis associated encephalopathy (SAE): management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Sepsis associated encephalopathy (SAE): management. High serum lactate, High serum sodium, Low platelet count. Fully referenced neurology checklist.

Laboratory features

  • High serum lactate
  • High serum sodium
  • Low platelet count
  • Low serum albumin

Magnetic resonance imaging (MRI) brain: features

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Electroencephalogram (EEG): features

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Evoked potentials (EP)

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Cerebrospinal fluid (CSF) analysis

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Non-specific biomarkers

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Potential biomarkers

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Treatment

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Synonyms

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References

  1. Gofton TE, Young GB. Sepsis-associated encephalopathy. Nat Rev Neurol 2012; 8:557-566.
  2. Chung HY, Wickel J, Brunkhorst FM, Geis C. Sepsis-associated encephalopathy: from delirium to dementia? J Clin Med 2020; 9:703.
  3. Ahmed M, Sureka J, Mathew V, Jakkani RK, Abhilash KP. Magnetic resonance imaging findings in a fatal case of Salmonella typhi-associated encephalopathy: a case report and literature review. Neurol India 2011; 59:270-272.
  4. Shindo A, Suzuki K, Iwashita Y, Tomimoto H. Sepsis-associated encephalopathy with multiple microbleeds in cerebral white matter. Am J Med 2018; 131:e297-e298.
  5. Hosokawa K, Gaspard N, Su F, Oddo M, Vincent JL, Taccone FS. Clinical neurophysiological assessment of sepsis-associated brain dysfunction: a systematic review. Crit Care 2014; 18:674.
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