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Doctor insights on: Status Epilepticus

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Dr. Nancy Rodgers-neame
29 doctors shared insights

Status Epilepticus (Overview)

Without regaining consciousness between each event. The most common cause is sudden stopping of anti-epileptic drug, but this can be an event secondary to infection, injury, encephalitis, chemical imbalance in the body, alcoholism. This is indeed a true medical emergency requiring hospitalization.


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Question about status epilepticus? How is it diagnosed?

Question about status epilepticus? How is it diagnosed?

EEG or clinical : Recurrent seizures without waking up in between. Several types. Most dangerous type is recurrent convulsions. Another type is non convulsive status epilepticus: recurrent episodes of a confused state (there are subtypes of this). Need continuous eeg to diagnose. ...Read more

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Dr. Nancy Rodgers-neame
29 doctors shared insights

Status Epilepticus (Overview)

Without regaining consciousness between each event. The most common cause is sudden stopping of anti-epileptic drug, but this can be an event secondary to infection, injury, encephalitis, chemical imbalance in the body, alcoholism. This is indeed a true medical emergency requiring hospitalization.


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What causes status epilepticus?

What causes status epilepticus?

Severe brain insult: There are multiple problems but all involve acute insults to the brain. This can include, strokes, infections like encephalitis, severe metabolic problems, including "ischemia/ hypoxia" ( lack of blood flow/oxygen to the brain as with a cardiac arrest for example), certain kinds of drug intoxication. Sudden cessation of anti-seizure meds in someone with epilepsy. There are other causes as well. ...Read more

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In a neuro-icu, how is status epilepticus treated?

In a neuro-icu, how is status epilepticus treated?

Two parts: 1. Work is done to find the cause of the persistent seizures, tests for infection, MRI of the brain, spinal tap and blood tests. People with epilepsy before this starts may not need all these tests. 2. Strong medication is given to produce a comatose state, to prevent seizures for at least 24 hours, before they are tapered off. EEG monitoring is essential during this care. Hope that helps ...Read more

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How do you prevent status epilepticus?

How do you prevent status epilepticus?

Do NOT miss meds: The most common cause for status is to miss medication and lose control of seizures. However, this can occur associated with drug or alcohol intoxications, infections (especially of brain), metabolic or chemical imbalances, medications which can interact with anti-epileptic drugs. Therefore, work closely with your neurologist, and follow treatment advice. ...Read more

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What causes status epilepticus?

Severe brain insult: There are multiple problems but all involve acute insults to the brain. This can include, strokes, infections like encephalitis, severe metabolic problems, including "ischemia/ hypoxia" ( lack of blood flow/oxygen to the brain as with a cardiac arrest for example), certain kinds of drug intoxication. Sudden cessation of anti-seizure meds in someone with epilepsy. There are other causes as well. ...Read more

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What are the symptoms of status epilepticus?

What are the symptoms of status epilepticus?

Bad stuff: Continual repetitive seizures, without regaining consciousness between the events. This is a clearcut neurological emergency which is life threatening if not stopped. ...Read more

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Could I be conscious during status epilepticus?

Could I be conscious during status epilepticus?

Not normally: The definition of status epilepticus from the working group of the epilepsy foundation is " "more than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures." so there could be consciousness, particularly with non-convulsive status epilepticus, but it wouldn't be the person's normal state. ...Read more

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How can I support someone in status epilepticus?

How can I support someone in status epilepticus?

A B C: Protect the airway - head to side and nothing in the mouth. Be sure breathing is adequate and airway is clear when they try to breath. Check the cardiac status that the heart is beating well and is perusing the brain. Once these issues are addressed, call for help, and then administer rescue medication if you have any available. Save the panic reaction to after completing above. ...Read more