Management of pediatric status epilepticus.
Publication/Presentation Date
7-1-2014
Abstract
Status epilepticus (SE) is a medical emergency consisting of persistent or recurring seizures without a return to baseline mental status. SE can be divided into subtypes based on seizure types and underlying etiologies. Management should be implemented rapidly and based on pre-determined care pathways. The aim is to terminate seizures while simultaneously identifying and managing precipitant conditions. Seizure management involves "emergent" treatment with benzodiazepines (lorazepam intravenously, midazolam intramuscularly, or diazepam rectally) followed by "urgent" therapy (phenytoin/fosphenytoin, phenobarbital, levetiracetam or valproate sodium). If seizures persist, "refractory" treatments include infusions of midazolam or pentobarbital. Prognosis is dependent on the underlying etiology and seizure persistence. This article reviews the current management strategies for pediatric convulsive SE.
Volume
16
Issue
7
First Page
301
Last Page
301
ISSN
1092-8480
Published In/Presented At
Abend, N. S., & Loddenkemper, T. (2014). Management of pediatric status epilepticus. Current treatment options in neurology, 16(7), 301. https://doi.org/10.1007/s11940-014-0301-x
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
24909106
Department(s)
Department of Pediatrics
Document Type
Article