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Chapter 10 - Management of Status Epilepticus and Recurrent Seizures

from Part III - Practice of Neuromonitoring: Pediatric Intensive Care Unit

Published online by Cambridge University Press:  08 September 2022

By
Marina Gaínza-Lein ,
Iván Sánchez Fernández  and
Tobias Loddenkemper
Edited by
Cecil D. Hahn  and
Courtney J. Wusthoff
Cecil D. Hahn
Affiliation:
The Hospital for Sick Children, University of Toronto
Courtney J. Wusthoff
Affiliation:
Lucile Packard Children’s Hospital, Stanford University
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Summary

Status epilepticus is a life-threatening and time-sensitive emergency. Continuous EEG monitoring allows the detection of electrographic seizures and electrographic status epilepticus. Increasing evidence guides best practices for which patients to monitor for these conditions and appropriate duration of monitoring. The treatment of SE consists of benzodiazepines, non-benzodiazepines, antiepileptic drugs, and continuous infusions; cEEG monitoring is helpful in assessing the response to treatment. Interpretation of EEG after electrographic seizures requires care, as some patterns on the ictal-interictal continuum may be challenging. This chapter reviews current evidence regarding neuromonitoring and the management of status epilepticus and recurrent seizures.

Keywords

Electrographic seizuresstatus epilepticuscEEGictal-interictal continuumtreatmentanti-seizure medication
Type
Chapter
Information
Neuromonitoring in Neonatal and Pediatric Critical Care , pp. 137 - 148
Publisher: Cambridge University Press
Print publication year: 2022

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