05
Mar
Convulsive Status Epilepticus Treatment. Generalized tonicclonic or convulsive status epilepticus is a medical emergency and every effort should be made to stop the seizures as quickly as possible. Non-convulsive status epilepticus can follow convulsive status epilepticus and is an important treatable cause of persistent coma following convulsive status epilepticus. The initial approach includes administration of thiamine followed by glucose when glucose levels are low or. Intra-muscular midazolam has superior effectiveness compared to intravenous lorazepam in adults with convulsive status epilepticus.
Seek to achieve seizure control within the first 1 to 2 hours after the onset of symptoms as this will significantly affect the prognosis. A comparison of four treatments for generalized convulsive status epilepticus. Although the outcome of status epilepticus is mainly determined by its cause the duration of CSE is also important. Condition has been defined as a convulsion lasting at least 30 min or recurrent convulsions occurring over a 30-min period without recovery of consciousness. There is considerable controversy about whether to treat NCSE as aggressively as convulsive status epilepticus and there are no randomized studies upon which to base treatment decisions. Non-convulsive status epilepticus can follow convulsive status epilepticus and is an important treatable cause of persistent coma following convulsive status epilepticus.
Take an Airway Breathing Circulation ABC approach.
Emergency AED therapy for convulsive status epilepticus published in 2004 Stage or status. Convulsive seizures and probably seizures prolonged enough to constitute convulsive status epilepticus SE were known in antiquity and convulsive status has been described in the medical literature for the past few centuries. Generalized tonicclonic or convulsive status epilepticus is a medical emergency and every effort should be made to stop the seizures as quickly as possible. ALL patients with status epilepticus should be treated with a conventional anti-epileptic agent eg. The exact choice of AED is less important than rapid treatment. Here we give an overview about the recent recommendations for the treatment of SE in the prehospital and hospital setting.