Doctor insights on:
Whats Is The First Line Treatment For Status Epilepticus
If this is the first time I am having seizures but it lasted more than 30 minutes, is it considered status epilepticus?
Depends: The details provided are sketchy and definitions vary, but traditionally status epilepticus is defined as one continuous, unremitting seizure lasting longer than 5 minutes, or recurrent seizures without regaining consciousness between seizures for greater than 5 minutes. 5 min has been chosen as this is the time frame when the seizures are unlikely to self-terminate and neuron damage can occur. ...Read moreSee 1 more doctor answer
What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart
Status epi: Long-lasting status is a difficult case and can be serious. People who have recovered from status have a much better prognosis, with rare relapses, but they should continue anticonvulsant medications afterwards. They will likely always be on at least one medicine. ...Read moreSee 1 more doctor answer
Look for seizure: Eeg allows detection of seizures, even if there is no clinically evident seizure on examination. Patients in status are often sedated, and the EEG allows detection of ongoing seizure activity when it would be difficult or impossible to see any other way. Only once the seizures are under control can we start pulling back on sedation. ...Read moreSee 1 more doctor answer
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
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
Continuous seizures : 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. ...Read more
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