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.

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