The following is an excerpt....
BASICS
ALERT:
- Status epilepticus is a life-threatening emergency; rapid seizure control is critical, even before a definitive diagnosis is reached (as with CPR).
- Begin drug treatment if seizure lasts >5 minutes.
Description
- Established status epilepticus is a seizure lasting >30 minutes or absence of recovery of consciousness between seizures. Tonic–clonic (grand mal or generalized convulsive) status is the most common and serious form.
- Refractory status epilepticus: Seizure that persists after treatment with 1st-line drugs.
- System affected: Nervous
- Synonym: Status convulsivus
Epidemiology
Incidence
- 18–50 cases per 100,000 per year; 1/3 as unprovoked 1st seizure, 1/6 in patients with known epilepsy, 1/2 secondary to acute CNS insult
- Incidence is 2 times higher in the ...
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