Status epilepticus and refractory status epilepticus management

Seminars in Pediatric Neurology
Nicholas S AbendDennis J Dlugos

Abstract

Status epilepticus (SE) describes persistent or recurring seizures without a return to baseline mental status and is a common neurologic emergency. SE can occur in the context of epilepsy or may be symptomatic of a wide range of underlying etiologies. The clinician's aim is to rapidly institute care that simultaneously stabilizes the patient medically, identifies and manages any precipitant conditions, and terminates seizures. Seizure management involves "emergent" treatment with benzodiazepines followed by "urgent" therapy with other antiseizure medications. If seizures persist, then refractory SE is diagnosed and management options include additional antiseizure medications or infusions of midazolam or pentobarbital. This article reviews the management of pediatric SE and refractory SE.

Citations

Apr 19, 2016·Journal of Clinical Medicine·Douglas M SmithNicholas S Abend
May 31, 2018·Epilepsy Currents·Katherine C Nickels
Apr 28, 2016·Journal of Clinical Medicine·Jessica J Falco-Walter, Thomas Bleck
Jun 20, 2017·Emergency Medicine Australasia : EMA·Jeremy FurykFranz E Babl
May 16, 2018·Brain and Behavior·Mohammad Reza Amiri-NikpourHozan Mohammadi
Feb 9, 2021·Paediatrics & Child Health·Kyle C McKenzieJeremy N Friedman

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