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 study looked at adults with tuberous sclerosis complex (TSC) who had a history of seizures and were followed at one center in Paris from 2005 to 2021.
This study looked at how pediatric neurologists in Japan report using and prescribing rescue medicine before a child reaches the hospital for status epilepticus, which is a seizure emergency.
This paper is a critical review, not a new experiment.
This study looked at KCNT1-related epilepsy in infancy.
This retrospective, single-center study examined the genetics of complex febrile seizures in 233 children ages 6 months to 6 years at Wuhan Children’s Hospital in China.
This study looked at post-stroke epilepsy, defined here as one or more seizures occurring more than 7 days after a stroke.
This paper was a structured narrative review, not a new clinical trial.
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.