Status epilepticus

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Status epilepticus
EEG showing spike-and-wave activity
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Seizure, confusion, unconsciousness
Complications Brain damage, death
Onset Sudden
Duration More than 5 minutes
Types Convulsive status epilepticus, non-convulsive status epilepticus
Causes Epilepsy, stroke, head injury, infection, alcohol withdrawal
Risks Epilepsy, brain injury, alcoholism
Diagnosis EEG, clinical observation
Differential diagnosis Seizure, syncope, psychogenic non-epileptic seizures
Prevention N/A
Treatment Benzodiazepines, antiepileptic drugs, intensive care
Medication Lorazepam, diazepam, phenytoin, levetiracetam
Prognosis Variable, depends on cause and treatment
Frequency 40 per 100,000 people per year
Deaths 20% mortality rate if untreated


Rectal valium

Status epilepticus is a type of epilepsy that is characterized by continuous or recurrent seizures. It is a medical emergency that requires immediate treatment.

Definition[edit]

Status epilepticus is defined as a seizure that lasts for more than five minutes, or two or more seizures within a five-minute period without the person returning to normal between them.

Causes[edit]

The causes of status epilepticus can be divided into two categories: known and unknown. Known causes include stroke, trauma, infection, and metabolic disorders. Unknown causes are those where no specific cause can be identified.

Symptoms[edit]

The symptoms of status epilepticus can vary depending on the type of seizure. They can include convulsions, loss of consciousness, and abnormal behavior.

Treatment[edit]

The treatment of status epilepticus involves stopping the seizure as quickly as possible and treating the underlying cause. This can involve the use of antiepileptic drugs, sedatives, and other treatments.

Prognosis[edit]

The prognosis for status epilepticus can vary depending on the underlying cause and the person's overall health. In some cases, it can be life-threatening.

See also[edit]

References[edit]

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External links[edit]

Further reading[edit]

  • Shorvon, S. (2001). Status Epilepticus: Its Clinical Features and Treatment in Children and Adults. Cambridge University Press. ISBN 978-0-521-58117-0.
  • Trinka, E., & Höfler, J. (2015). Status epilepticus: A critical review. Epilepsy & Behavior, 49, 86-91. doi:10.1016/j.yebeh.2015.04.044.

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