Clinical Features of Generalized Status Epilepticus
#Status epilepticus serial#
9,10 This definition differs from that of serial seizures, which are two or more seizures occurring over a relatively brief period (i.e., minutes to many hours), but with the patient regaining consciousness between the seizures. Since isolated tonic–clonic seizures in adults rarely last more than a few minutes, we advocate the use of an operational definition of status epilepticus: either continuous seizures lasting at least five minutes or two or more discrete seizures between which there is incomplete recovery of consciousness. 4,5,8 Practitioners recognize the need to begin therapy for status epilepticus well before 20 minutes have elapsed, so such a definition is also unsuitable as a guide for treatment. More recent publications have defined status epilepticus as seizures that persist for 20 to 30 minutes, which is an estimate of the duration necessary to cause injury to central nervous system neurons.
In 1981, the International League against Epilepsy defined status epilepticus as a seizure that “persists for a sufficient length of time or is repeated frequently enough that recovery between attacks does not occur.” 7 The lack of a specific duration of the seizures has made this definition difficult to use. The most trusted, influential source of new medical knowledge and clinical best practices in the world. Information and tools for librarians about site license offerings. Valuable tools for building a rewarding career in health care. The authorized source of trusted medical research and education for the Chinese-language medical community. The most advanced way to teach, practice, and assess clinical reasoning skills. Information, resources, and support needed to approach rotations - and life as a resident. The most effective and engaging way for clinicians to learn, improve their practice, and prepare for board exams. NEW! Peer-reviewed journal featuring in-depth articles to accelerate the transformation of health care delivery.Ĭoncise summaries and expert physician commentary that busy clinicians need to enhance patient care.
#Status epilepticus trial#
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