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Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
Published on: June 13, 2016
Emergency seizure management
Cassandra Kazl1, Josiane LaJoie1
1The Department of Neurology, NYU Langone Health, 240 East 38th Street, New York, NY 10016, United States.
Insights
Status epilepticus (SE) is a common seizure emergency affecting many children and adults. This review covers SE definition, emergency management, and treatment recommendations for various populations.
Area of Science:
- Neurology
- Pediatrics
- Emergency Medicine
Background:
- Seizures are a frequent reason for emergency department visits and pediatric consultations.
- Epilepsy impacts over 3.4 million Americans, including 500,000 children, with over 200,000 new-onset seizures annually.
- An estimated 100,000 individuals experience status epilepticus (SE) each year.
Purpose of the Study:
- To define and describe status epilepticus (SE).
- To discuss the emergency evaluation and management of new-onset and breakthrough SE.
- To review current SE treatment guidelines and identify high-risk populations.
Main Methods:
- This is a review article.
- It synthesizes current literature and clinical guidelines.
- Focuses on practical management strategies for healthcare providers.
Main Results:
- Status epilepticus (SE) requires prompt recognition and management.
- Effective treatment strategies exist for both home and hospital settings.
- Certain pediatric populations are at higher risk for SE.
Conclusions:
- General practitioners and neurologists must be proficient in managing seizure emergencies, particularly SE.
- Timely and appropriate intervention is crucial for improving outcomes in SE.
- Understanding high-risk groups can aid in prevention and early treatment.
Abstract:
Seizures are a common presentation in both emergency departments and general pediatric practices. Epilepsy affects more than 3.4 million people nationwide, of which approximately 500,000 are children, with greater than 200,000 first-time seizures each year.1 Of the affected individuals, as many as 100,000 are estimated to experience status epilepticus (SE). Both general practitioners and neurologists alike must be able to define, recognize and treat seizure emergencies. This review article defines and describes SE, discusses the emergency evaluation and management of SE that is both new-onset and breakthrough in people with epilepsy, reviews the current treatment recommendations for SE in both the home and hospital settings, and introduces special populations that may be at high risk for SE or other seizure emergencies.
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