This hub covers status epilepticus, a seizure emergency, which is when a seizure doesn’t stop or seizures happen back-to-back without recovery. The 5-minute rule, rescue meds, and what care looks like.
A convulsive seizure approaching 5 minutes is treated seriously because the chance it won’t stop rises.
Time the seizure. If a seizure lasts ~5 minutes, breathing is abnormal, injury occurs, it’s a first seizure, or recovery is not typical, call 911.
Yes. Confusion, staring, or unusual behavior that doesn’t resolve can be nonconvulsive status, especially in hospital settings.
Not always. Some families have plans that include rescue meds and monitoring. But prolonged convulsive seizures generally need urgent care.
This paper describes one child with febrile infection-related epilepsy syndrome (FIRES), a rare condition in which severe seizures begin after a febrile infection.
This study looked at whether living in a rural area was associated with different hospital outcomes for people admitted with a primary diagnosis of epilepsy and recurrent seizures in the United States.
This paper is a review about neurology-centered clinical management of Angelman syndrome, especially seizure care.
This paper looked at a rare condition called Subacute Encephalopathy with Seizures in Alcoholics (SESA).
This study looked at how adults with non-convulsive status epilepticus (NCSE) were treated in a 6-year ambispective registry, and whether treatment patterns were associated with seizure control, death in the hospital, or worse function at discharge.
This report describes one infant girl with very severe epilepsy and developmental problems.
This paper did not test the ketogenic diet in a new group of children.
This analysis looked at implantable vagus nerve stimulation (VNS) in people with drug-resistant primary generalized tonic-clonic seizures (PGTCS).
This paper was a systematic review, which means the researchers searched published medical reports rather than enrolling new patients.