Status epilepticus: Challenges in rural and remote locations in low- and low-middle income countries

The incidence of status epilepticus is possibly increased in low- and low-middle income countries but paradoxically, there are more challenges in the management of the condition in these countries. These challenges include the lack of recognition of status epilepticus in the community, impenetrable access to treatment and non-availability of medications to treat status epilepticus. We propose that status epilepticus be an index condition and an entry-point for improving emergency care for neurological disorders in low- and low-middle income countries. Ostensible solutions include measures to improve awareness and identification of status epilepticus in the community, a responsive health system and better knowledge and skills available with emergency health care providers.