7 doctors weighed in:
In a neuro-icu, how is status epilepticus treated?
7 doctors weighed in

Dr. Olav Jaren
Neurology
2 doctors agree
In brief: 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

In brief: 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
Dr. Olav Jaren
Dr. Olav Jaren
Thank
Dr. Michael DePietro
Internal Medicine - Pulmonary Critical Care
1 doctor agrees
In brief: Anti seizure drugs
Treatment has 3 parts.
The first is to stop the seizures. This can first be done with the medicines used to sedate patients for any reason in the intensive care unit. The medications Midazolam or Propofol are very good at stopping seizures. Usually patients need a more specific anti-seizure medicine. An example is keppra (levetiracetam). Finally organ support and treatment of the underlying cause in needed.

In brief: Anti seizure drugs
Treatment has 3 parts.
The first is to stop the seizures. This can first be done with the medicines used to sedate patients for any reason in the intensive care unit. The medications Midazolam or Propofol are very good at stopping seizures. Usually patients need a more specific anti-seizure medicine. An example is keppra (levetiracetam). Finally organ support and treatment of the underlying cause in needed.
Dr. Michael DePietro
Dr. Michael DePietro
Thank
1 doctor agrees
In brief: Many factors
First identify that it is status epileptics.
Look for cause. Treatment has many facets like protecting patient for further damage, airway and oxygenation, normalizing hydration electrolytes, optimizing functions of other organs like liver, kidney, lungs etc. Anticonvulsants, many drugs are used including general anesthesia. Treatment is mostly individualized. Often muscle paralitics are used.

In brief: Many factors
First identify that it is status epileptics.
Look for cause. Treatment has many facets like protecting patient for further damage, airway and oxygenation, normalizing hydration electrolytes, optimizing functions of other organs like liver, kidney, lungs etc. Anticonvulsants, many drugs are used including general anesthesia. Treatment is mostly individualized. Often muscle paralitics are used.
Dr. Nalinaksha Joshi
Dr. Nalinaksha Joshi
Thank
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