Management of generalized tonic-clonic status epilepticus

The steps to be taken in the management of GTC status are outlined in Table 2. Once the GTC status is brought under control, prevention of recurrent seizures must be considered. The specific etiology must be sought. Those patients who require long-term prophylactic anticonvulsant therapy include those with structural brain abnormalities, progressive neurological disorders, and patients with idiopathic epilepsy.