scholarly journals Status Epilepticus in the Emergency Department, Part 2: Treatment

2018 ◽  
Vol 50 (7) ◽  
pp. 135-141
Author(s):  
Matthew Eisenstat ◽  
J. Stephen Huff
2019 ◽  
Vol 39 (01) ◽  
pp. 073-081 ◽  
Author(s):  
Carl Bazil ◽  
Anna Bank

AbstractSeizure- and epilepsy-related complications are a common cause of emergency medical evaluation, accounting for 5% of 911 calls and 1% of emergency department visits. Emergency physicians and neurologists must be able to recognize and treat seizure- and epilepsy-related emergencies. This review describes the emergency evaluation and management of new onset seizures, breakthrough seizures in patients with known epilepsy, status epilepticus, acute symptomatic seizures, and acute adverse effects of antiepileptic drugs.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Shahriar Zehtabchi ◽  
Robert Silbergleit ◽  
James M. Chamberlain ◽  
Shlomo Shinnar ◽  
Jordan J. Elm ◽  
...  

2019 ◽  
Vol 26 (3) ◽  
pp. 228-230 ◽  
Author(s):  
Peiman Nazerian ◽  
Delia Lazzeretti ◽  
Simone Vanni ◽  
Emilia Donnarumma ◽  
Simone Magazzini ◽  
...  

2016 ◽  
Vol 31 (10) ◽  
pp. 1257-1264 ◽  
Author(s):  
Itaru Hayakawa ◽  
Sahoko Miyama ◽  
Nobuaki Inoue ◽  
Hiroshi Sakakibara ◽  
Hiroshi Hataya ◽  
...  

1970 ◽  
Vol 1 (1) ◽  
pp. 59-61
Author(s):  
S Bhattarai ◽  
SC Kohli

A 22 years old female was brought to emergency department of Manipal teaching hospital, Pokhara, Nepal with suicidal consumption of 35 grams of endosulphan .She presented with status epilepticus not responding to intravenous benzodiazepine, loading doses of phenytoin and phenobarbitone and was managed by intravenous propofol and subsequently with continuous infusion of midazolam. Refractory status epilepticus is a common problem following ingestion of endosulphan and unless aggressively treated, it is associated with high morbidity and mortality. Endosulphan poisoning is often completely reversible with immediate and appropriate treatment. Keywords: Endosulphan poisoning; seizure; refractory status epilepticus; benzodiazepine; propofol. DOI: http://dx.doi.org/10.3126/njms.v1i1.5801   Nepal Journal of Medical Sciences. 2012; 1(1): 59-61


2021 ◽  
Author(s):  
Sohyun Eun ◽  
Hye Eun Kwon ◽  
Heoung Jin Kim ◽  
Seo Hee Yoon ◽  
Moon Kyu Kim ◽  
...  

Abstract Background: Uncontrolled status epilepticus (SE) causes damage to all organs, especially the brain. Although there are guidelines regarding the management of convulsive SE, the timing for administering first-line rescue medications (RMeds) remains unclear. Therefore, we analyzed patients with persistent SE lasting for >30 min, who visited the pediatric emergency department (pED), to determine clinical features and risk factors and provide directions for management on arrival to the pED. Methods: This study was conducted by retrospectively reviewing medical charts of patients aged 0–19 years diagnosed with SE and accompanying motor seizures, who visited the pED between January 2010 and December 2019. After arrival at the pED, patients were divided into two groups, namely ≥30 min (n = 12) and <30 min (n = 13), according to the additional seizure time and administration of the first dose of RMeds before and after 5 min. Results: Seizures lasting for <30 min were mainly belonged to idiopathic SE in the pED. Among four SE patients who needed intensive care unit (ICU) management, three had delayed administration of RMeds of >5 min, which was statistically significant; hence, more hospitalizations in the ICU were observed when RMed administration was delayed (p = 0.047). In acute symptomatic SE such as encephalitis, more than three doses of RMeds were needed to control seizures. Conclusions: Patients with convulsive SE should arrive at the pED as soon as possible and immediately receive RMeds after arrival at the pED for good outcomes.


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