Abstract

Status epilepticus is a common pediatric neurologic emergency that requires rapid recognition and intervention. An operational definition of status epilepticus recommends administration of an antiseizure medication after 5 minutes of seizure activity; a predetermined pathway/guideline can expedite management. Management goals include general supportive care, termination of status epilepticus, prevention of recurrence, correction of precipitating causes, and prevention and treatment of potential complications. The longer seizures continue, the more difficult they are to stop with medications. However, in some instances, status epileptics progresses to a refractory or super-refractory state for which induced-anesthetic therapies are required.

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