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Chapter 10 - Management of Status Epilepticus and Recurrent Seizures
from Part III - Practice of Neuromonitoring: Pediatric Intensive Care Unit
- By Marina Gaínza-Lein, Iván Sánchez Fernández, Tobias Loddenkemper
Edited by Cecil D. Hahn, Courtney J. Wusthoff
Book:

Neuromonitoring in Neonatal and Pediatric Critical Care

Published online:

08 September 2022

Print publication:

15 September 2022, pp 137-148
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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.