Management of status epilepticus

M. Pichler, S. Hocker

Research output: Chapter in Book/Report/Conference proceedingChapter

6 Scopus citations

Abstract

Status epilepticus is a neurologic and medical emergency manifested by prolonged seizure activity or multiple seizures without return to baseline. It is associated with substantial medical cost, morbidity, and mortality. There is a spectrum of severity dependent on the type of seizure, underlying pathology, comorbidities, and appropriate and timely medical management. This chapter discusses the evolving definitions of status epilepticus and multiple patient and clinical factors which influence outcome. The pathophysiology of status epilepticus is reviewed to provide a better understanding of the mechanisms which contribute to status epilepticus, as well as the potential long-term effects. The clinical presentations of different types of status epilepticus in adults are discussed, with emphasis on the hospital course and management of the most dangerous type, generalized convulsive status epilepticus. Strategies for the evaluation and management of status epilepticus are provided based on available evidence from clinical trials and recommendations from the Neurocritical Care Society and the European Federation of Neurological Societies.

Original languageEnglish (US)
Title of host publicationHandbook of Clinical Neurology
PublisherElsevier B.V.
Pages131-151
Number of pages21
DOIs
StatePublished - 2017

Publication series

NameHandbook of Clinical Neurology
Volume140
ISSN (Print)0072-9752
ISSN (Electronic)2212-4152

Keywords

  • anesthetic
  • antiepileptic
  • diagnosis
  • management
  • outcome
  • refractory
  • seizure
  • status epilepticus
  • superrefractory
  • treatment

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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  • Cite this

    Pichler, M., & Hocker, S. (2017). Management of status epilepticus. In Handbook of Clinical Neurology (pp. 131-151). (Handbook of Clinical Neurology; Vol. 140). Elsevier B.V.. https://doi.org/10.1016/B978-0-444-63600-3.00009-X