Status epilepticus

Refers to a life-threatening condition in which the brain is in a state of persistent seizure.


Continuous epileptic seizures.


A condition in which one major attack of epilepsy succeeds another with little or no intermission.


Repeated and prolonged epileptic seizures without recovery of consciousness between them.


An emergency situation characterized by a rapid series of epileptic seizures that occur without any appreciable recovery between seizures.


Condition in which there are continual seizures without intervals of consciousness; it can lead to severe brain damage and death. Therapy includes maintenance of adequate oxygen supply and anticonvulsants.


The occurrence of repeated or prolonged seizures without periods of awakening. Status epilepticus is a severe, life-threatening condition that may occur as a result of tumors, trauma, or other problems that affect the brain. People with epilepsy are also at increased risk for this condition.


The occurrence of repeated epileptic fits without any recovery of consciousness between them. Its control is a medical emergency, since prolonged status epilepticus causes a serious imbalance of the salts (electrolytes) in the body, which may lead to the patient’s death. During each fit, the breathing is arrested and the body is deprived of oxygen, resulting in further damage to the brain cells.


Repeated epileptic fits with no or only brief return to consciousness between them. Minor epileptic status (‘petit mal status’) looks less dramatic in that the abnormal movements may be localized to one or other limb and may appear as twitching rather than a full blown seizure. Analysis by continous recording of electroencephalography (EEG) has also shown that it is possible to have status epilepticus with little outward sign beyond confusion and minor involuntary movements. Epileptic status can be dangerous; as the brain becomes starved of oxygen and glucose, so urgent medical attention is required to control the condition, or the patient may suffer permanent brain damage. Immediate first aid by a doctor or paramedic involves rectal or intravenous administration of a rapidly acting anti-epileptic drug (such as diazepam), the provision of oxygen and transfer to hospital. In-patient treatment involves following a protocol for giving sequential antiepileptic drugs; ultimately it might be necessary to anaesthetise and paralyze the patient whilst providing artificial ventilation.


Continuous seizure activity without a pause, i.e., without an intervening period of normal brain function. Status can include two back-to-back seizures without a lucid interval or any seizure lasting more than 5 to 10 min.


Continuous or recurrent epileptic seizures that occur without the individual regaining consciousness between each seizure are referred to as status epilepticus. This condition demands urgent medical attention and can be life-threatening if not promptly treated. It is more prone to manifest in individuals with epilepsy who inconsistently take or abruptly discontinue anticonvulsant medications.


A state where consecutive epileptic seizures occur without any conscious intervals between them.


 


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