Status epilepticus is defined as continuous seizures lasting more than 30 minutes or recurrent seizures without regaining consciousness between seizures. It requires urgent treatment to prevent neurological complications. The first step is to administer oxygen, stabilize airway and circulation. Lorazepam or midazolam is given as initial treatment, followed by phenytoin/fosphenytoin if seizures continue. For refractory cases, general anesthesia with propofol, thiopental or pentobarbital is needed along with ventilatory support. Long term anticonvulsants are also initiated to control seizures.
18. Treatment IV Phenytoin (fosphenytoin)or phenobarbital Non-convulsive status epilepticus in coma Oral valproate Atypical absence status epilepticus Oral clobazam Complex partial status epilepticus IV or oral benzodiazepines Typical absence status epilepticus Treatment Type
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