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Status Epilepticus

Muhammad Durrani, DO, MS and Amy Ondeyka, MD Reviewed 06/2019
 


BASICS

ALERT

The various forms of status epilepticus (SE) represent critical neurologic conditions associated with significant morbidity and mortality rates, requiring prompt diagnosis and rapid seizur...

DIAGNOSIS

HISTORY

  • Convulsive SE is a clinical diagnosis, commonly presenting with sustained tonic–clonic motor activity.

    • Assess time of onset and offset, warning signs, parts of body involved in motor...

TREATMENT

The most important element of successful termination of seizures is the time elapsed before initiating treatment. Simultaneous goals are to stop the seizure, find the cause, and prevent comp...

ONGOING CARE

PATIENT EDUCATION

Reinforce importance of continuing anticonvulsant medications and avoiding alcohol. 

PROGNOSIS

  • Prognosis is largely dependent on the etiology of SE with poor prognoses asso...

REFERENCES

1
Glauser T, Shinnar S, Gloss D, et al. Evidence-based guideline: treatment of convulsive status epilepticus in children and adults: report of the guideline committee of the American Epileps...

SEE ALSO

Seizure Disorders; Seizures, Febrile 

CODES

ICD10

  • G40.901 Epilepsy, unsp, not intractable, with status epilepticus

  • G40.401 Oth generalized epilepsy, not intractable, w stat epi

  • G40.411 Oth generalized epilepsy, intractable, w status epilepti...

CLINICAL PEARLS

  • SE is life threatening; begin treatment immediately even before etiology is known and start with IV lorazepam or IM midazolam and add antiepileptic urgently.

  • If not controlled with firs...

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