Status Epilepticus
Charles R Siegel1, Danya Khoujah2
1Department of Emergency Medicine, University of Maryland Medical Center, 6th Floor, Suite 200, 110 South Paca Street, Baltimore, MD, USA.
None:
Status epilepticus (SE) is a life-threatening neurological emergency defined by prolonged seizure activity or seizure activity without a return to baseline. SE can lead to permanent neuronal injury, and it is crucial that it be recognized as soon as possible. Management of SE follows a stepwise approach, with benzodiazepines first-line, followed by antiseizure drugs, and finally with anesthetics. Assessing airway status, along with checking for hypoglycemia and pregnancy status in reproductive-age women, are imperative. Nonconvulsive SE can be difficult to diagnose and requires EEG for detection. Special considerations apply for cases of SE in pregnant, elderly, and immunocompromised patients.
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