What does it mean to have status epilepticus?
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 no … Status epilepticus is a neurological emergency requiring immediate evaluation and management to prevent significant morbidity or mortality.
Is there a cure for super refractory status epilepticus?
The treatment of super-refractory status epilepticus: a critical review of available therapies and a clinical treatment protocol. Brain. 2011 Oct;134 (Pt 10):2802-18. doi: 10.1093/brain/awr215.
When does a seizure become a medical emergency?
A seizure that lasts at least 30 minutes is called status epilepticus, or a prolonged seizure. This is a medical emergency that may lead to permanent brain damage or death. Many medical experts become concerned that a seizure is status epilepticus after it lasts 5 to 10 minutes.
Is it possible to have convulsive status epilepsy?
Status epilepticus is very rare, most people with epilepsy will never have it. This condition is more common in young children and elderly adults. This condition can occur as: Convulsive status epilepticus.
Is there a treatment algorithm for status epilepticus?
STATUS EPILEPTICUS (SE) TREATMENT ALGORITHM IN ADULTS There exists a lack of prospective controlled trials regarding the appropriate doses or targeted therapeutic levels for refractory status epilepticus. Many of the recommended doses or targeted therapeutic levels are higher than referenced in the literature and based upon expert opinions at NYPH.
What is the definition of focal motor status epilepticus?
Focal motor status epilepticus involves the refractory motor activity of a limb or a group of muscles on one side of the body with or without loss of consciousness is myoclonic status epilepticus. Refractory status epilepticus refers to continuing seizures (convulsive or non-convulsive) despite appropriate antiepileptic drugs.
How is lorazepam used to treat status epilepticus?
Treatment of Status Epilepticus. Lorazepam is considered the benzodiazepine of choice for the initial treatment of seizures given its pharmacokinetic and safety profile. Initial doses should be 4 to 10 mg intravenously. A loading dose of 0.1 to 0.2 mg/kg should be given if seizures are not aborted within 2 to 3 minutes.