Diagnostic work-up and therapeutic options in management of pediatric status epilepticus.

World Journal of Pediatrics : WJP
Mario Mastrangelo, Andrea Celato

Abstract

Status epilepticus (SE) is a life-threatening neurologic disorder comprising prolonged and unremitting crisis, and two or more series of seizures without complete intercritical recovery. We reviewed the literature through a Pubmed/Medline research using key words including status epilepticus, antiepileptic drugs and children, in order to revise and compare international/national protocols and to examine pediatric guidelines in SE management. Neurologic impairment and SE etiology seem to be the most independent risks for mortality. A deep semiologic evaluation is essential to addressing diagnostic work-up. Ematochemical parameters, plasma levels of antiepileptic drugs and clinically oriented toxic/metabolic screening should be mandatory for investigating both causes and effects of SE. Electroencephalography is clearly helpful to characterize focal from generalized SE and to distinguish epileptic events from pseudoseizures, and it is deal to find nonconvulsive SE. Neuroimaging techniques could detect epileptogenic lesions (such as cortical malformations, tumors, demyelinating disorders or strokes) but are common in practice to find negative or controversial results. Pharmacologic management can be essentially arranged in three st...Continue Reading

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Citations

Sep 10, 2013·Saudi Journal of Anaesthesia·Hiromi KakoJoseph D Tobias
Sep 11, 2013·Acta neurologica Belgica·Liesbeth De WaeleLieven Lagae
Jan 31, 2014·European Journal of Pediatrics·Mario MastrangeloCorrado Moretti
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Jun 4, 2015·Expert Review of Neurotherapeutics·Xuefeng WangRong Chen
Aug 31, 2018·Epilepsia·Shamima Rahman
Nov 7, 2020·Seminars in Neurology·Cristina Barcia AguilarTobias Loddenkemper

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