In some children with status epilepticus, seizures persist despite treatment with adequate doses of an initial two or three anticonvulsant medications, and this condition con-stitutes refractory status epilepticus.
Causes of status epilepticus in children It is important to consider the under-lying cause of status epilepticus. The cause will guide the investigations, may require immediate treatment, and has a major influence on the progno-sis.
Absence status epilepticus can be divided into childhood absence status epilepticus (those usually already receiving treatment), late-onset absence status epilepticus with a history of
Status epilepticus in children anaesthesia tutorial of the week 248. 30. TH.
Key Words: Epilepsy-Seizures-Status epilepticus-Anticonvulsants-Treatment outcome-Adverse drug re-action-Brain diagnosis-Child-Adolescent-Adult.
Most children with an episode of SE should be admitted for inpatient observation, evaluation, and treatment. Any child with persistent altered mental status (despite cessation of seizure activity) or with prolonged status epilepticus should be admitted to a pediatric critical care unit.
The committee made special mention of the treatment of status epilepticus in children. They noted that drug efficacy is similar in adults and children, but that children may tolerate more rapid intravenous administration than older patients.
This corresponds with the time at which urgent treatment should be initiated. (See "Clinical features and complications of status epilepticus in children", section on 'Definition'.)
Management of childhood convulsive status epilepticus. especially to exclude the need for neurosurgical intervention in children with new-onset SE without a prior history of epilepsy, or in those with persistent SE despite appropriate treatment.
Status epilepticus (SE) is an epileptic seizure of greater than five minutes or more than one seizure within a five-minute period without the person returning to normal between them. Previous definitions used a 30-minute time limit.