• Duodecim · Jan 2009

    Practice Guideline

    [Update on current care guidelines. The treatment of status epilepticus].

    • Reetta Kälviäinen, Kai Eriksson, Olli Häppölä, Tapani Keränen, Juoni Kurola, Anna-Leena Kuusela, Tanja Laukkala, Esko Ruokonen, Tapani Salmi, Päivi Hirsso, Matti Kotila, Suomalaisen Lääkäriseuran Duodecimin, Suomen Lastenneurologinen Yhdistys RY:n, and Suomen Neurologinen Yhdistys RY:n Asettama Työryhmä.
    • Duodecim. 2009 Jan 1;125(22):2469-71.

    AbstractStatus epilepticus is a medical emergency. Most epileptic seizures last for 1-4 minutes and seizures lasting over five minutes, should be treated as status epilepticus. EEG is essential for diagnostics and the monitoring of treatment effect. The treatment for status epilepticus, irrespective of aetiology, can be divided into first-aid medications, such as buccal midazolam or rectal diazepam, first-line medications such as intravenous diazepam or lorazepam, and second-line medications such as fosphenytoin and valproate for adults and phenobarbital for children. Third-line treatment is suppressive general anaesthesia, monitored by continuous EEG. Antiepileptic medication of patients with epilepsy should be carefully re-evaluated after episode of status epilepticus.

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