CONTINUUM: Lifelong Learning in Neurology:
doi: 10.1212/01.CON.0000431395.16229.5a
Review Articles

Status Epilepticus

Hirsch, Lawrence J. MD, FAAN; Gaspard, Nicolas MD, PhD

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Purpose of Review: This review presents the state of the art in the diagnosis and management of status epilepticus.

Recent Findings: In addition to general background, this article presents the most recent findings regarding the diagnosis and treatment of status epilepticus, including the results of the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART) and the available data on the use of newer antiepileptic and anesthetic drugs in the treatment of refractory status epilepticus. It also presents available guidelines such as those from the Neurocritical Care Society.

Summary: Despite recent advances, the management of status epilepticus remains a challenge. Rapid treatment, a written treatment protocol, early consideration of nonconvulsive seizures, and avoiding overtreatment and medical complications are the keys to successful management. This article summarizes the current evidence and guidelines.

© 2013 American Academy of Neurology


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