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PNA Epilepsy Council Recommendations for

the Treatment of Status Epilepticus in Children

>2months Old & in Adults (2010)

Status Epilepticus

-Recurrent or continuous seizures lasting atleat

30mins.

-recommendation: treatment when seizures

persist for >5mins

Classification

A. Generalized SEa. Convulsive (tonic-clonic,

myoclonic)

b. Nonconvulsive (absence)B. Partial SE

a. Simple (no alteration ofconsciousness)

b. Complex (alteration ofawareness)

Generalized tonic-clonic status epilepticus

Paroxysmal or continuous tonic and orclonic motor activity, symmetrical orasymmetrical, overt or sublte

associated w/ marked impairment of

consciousness & w/ bilateral ictal

discharges on EEG

Etiology

SE or febrile seizure Complication of encephalopathyFor children

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Second Line

-maintenance to prevent recurrence

Drugs Adult Children

Phenobarbital 15-20mg/kg

loading dose

Rate:

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Definition

(Johns Hopkins)

Tonico Persons muscle inially stiffen,

lose consciousness

o Eyes roll back into their headas the muscle

Tonic-clonico Grand malo Accompanied by clonic seizure

Myoclonico Myo: Muscle, clonic: jerko Increase muscle tone

Clonico Individual muscles begin to

spasm & jerk.

o Elbows, legs, head will flexthen relax rapidly at first

frequency of spasm will

gradually subside until cease

Absenceo Petit malo Uncommono

Begins suddenlyo Occurs w/o warning