What is the definition of a status epilepticus?

What is the definition of a status epilepticus?

Status epilepticus is a neurological emergency requiring immediate evaluation and management to prevent significant morbidity or mortality. Previously, status epilepticus was defined as a seizure with a duration equal to or greater than 30 minutes or a series of seizures in which the patient does not regain normal mental status between seizures.

What does refractory status epilepticus mean in children?

Refractory status epilepticus refers to continuing seizures (convulsive or non-convulsive) despite appropriate antiepileptic drugs. Status epilepticus is the most common pediatric neurological emergency. Copyright © 2021, StatPearls Publishing LLC.

Who is most at risk for status epilepticus?

This condition is more common in young children and elderly adults. This condition can occur as: Convulsive status epilepticus. Status epilepticus with convulsions may be more likely to lead to long-term injury. Convulsions may involve jerking motions, grunting sounds, drooling, and rapid eye movements.

When to take rocuronium or sugammadex for status epilepticus?

Intubation with succinylcholine (if there is no contraindication to this). Caution is required, however, because ongoing status epilepticus may cause hyperkalemia after >20-30 minutes. Intubation with rocuronium, followed by reversal of rocuronium with sugammadex to obtain a neurologic examination.

Status epilepticus is defined as: continuous seizure activity for 5 minutes or more without return of consciousness, or recurrent seizures (2 or more) without an intervening period of neurological recovery

Which is the best treatment for super refractory status epilepticus?

Consequently, some guidelines have added ketamine as a possible treatment for super-refractory status epilepticus ( Fung 2017 ). The combination of ketamine and propofol should theoretically provide synergistic anti-epileptic activity.

What can be done about generalized convulsive status epilepticus?

Utilizing immediately available medications which can be bolused is the only way to reliably achieve rapid seizure control. This post is about generalized convulsive status epilepticus, which causes loss of consciousness and diffuse muscular activity.