Feb 13, · Status epilepticus (SE) is a common, life-threatening neurologic disorder that is essentially an acute, prolonged epileptic crisis (see the image below). SE can represent an exacerbation of a preexisting seizure disorder or the initial manifestation of a seizure disorder (epilepsy), or it can represent an insult other than a seizure disorder. Status epilepticus is very rare, most people with epilepsy will never have it. This condition is more common in young children and elderly adults. This condition can occur as: Convulsive status epilepticus. Status epilepticus with convulsions may be more likely to lead to long-term injury.
Jul 01, · Veterans Affairs Status Epilepticus Cooperative Study Group. N Engl J Med. ;(12) (Randomized double-blind study; patients) Shorvon S. Clinical forms of status epilepticus. In: Shorvon S, ed. Status Epilepticus: Its Clinical Features and Treatment in Children and Adults. New York, NY: Cambridge University Press; Second line treatment for status epilepticus. If benzodiazepines fail and the patient is still seizing, start second line medications. Status epilepticus can progress into non-convulsive status epilepticus and it can be difficult to diagnose without EEG monitoring. In the ED, observe for a progressive return to baseline within 60 minutes.
In the UK, status epilepticus (defined as a 30 minute episode) is an infrequent occurrence. For example, Verity et al reported in that only 37 of 14 children from a long term cohort study had an episode of status epilepticus by their 10th birthday. Similarly, Smithet al reported in only 12 episodes of status epilepticus (lasting longer than 30 minutes) in seizure episodes. Status epilepticus (defined as seizure lasting greater than five minutes or repeated seizures without full recovery to normal conscious level between episodes) is a neurological emergency. Refractory status epilepticus is associated with significant mortality and high neurological morbidity.