Status epilepticus and refractory status epilepticus management.
Publication/Presentation Date
12-1-2014
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.
Volume
21
Issue
4
First Page
263
Last Page
274
ISSN
1558-0776
Published In/Presented At
Abend, N. S., Bearden, D., Helbig, I., McGuire, J., Narula, S., Panzer, J. A., Topjian, A., & Dlugos, D. J. (2014). Status epilepticus and refractory status epilepticus management. Seminars in pediatric neurology, 21(4), 263–274. https://doi.org/10.1016/j.spen.2014.12.006
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
25727508
Department(s)
Department of Pediatrics
Document Type
Article