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10.1007/s11940-014-0301-x

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C4110742!4110742!24909106
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suck abstract from ncbi

pmid24909106      Curr+Treat+Options+Neurol 2014 ; 16 (7): 301
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  • Management of Pediatric Status Epilepticus #MMPMID24909106
  • Abend N; Loddenkemper T
  • Curr Treat Options Neurol 2014[Jul]; 16 (7): 301 PMID24909106show ga
  • Status epilepticus (SE) is a medical emergency consisting of persistent or recurring seizures without a return to baseline mental status. SE is not a single entity, but can be divided into subtypes based on seizure types and underlying etiologies. Management should be implemented rapidly and based on continuously reassessed care pathways. The aim is to terminate seizures while simultaneously identifying and managing precipitant conditions. Seizure management involves ?emergent? treatment with benzodiazepines (lorazepam intravenously, midazolam intramuscularly, or diazepam rectally) followed by ?urgent? therapy (phenytoin/fosphenytoin, phenobarbital, levetiracetam or valproate sodium). If seizures persist, ?refractory? treatments include infusions of midazolam or pentobarbital. Prognosis is dependent on the underlying etiology and seizure persistence. This paper reviews the current management options and strategies for pediatric convulsive status epilepticus.
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