Status epilepticus

Pediatr Clin North Am. 2001 Jun;48(3):683-94. doi: 10.1016/s0031-3955(05)70334-5.


Status epilepticus is a serious medical emergency that requires prompt and appropriate intervention. Maintenance of adequate vital function with attention to airway, breathing, and circulation; prevention of systemic complications; and rapid termination of seizures must be coupled with investigating and treating any underlying cause. In most patients with SE, the use of adequate dosages of first-line antiepileptic agents allows for the successful and rapid termination of SE and avoidance of potential neurologic complications. Refractory SE requires more aggressive treatment, often the use of intravenous anesthetic agents and intense monitoring, and therefore must be managed in a pediatric intensive care unit with a multidisciplinary approach. Large, controlled, multicenter, comparative studies are needed urgently to clarify better the optimal management of these patients.

Publication types

  • Review

MeSH terms

  • Anticonvulsants / therapeutic use
  • Benzodiazepines / therapeutic use
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Infant, Newborn
  • Midazolam / therapeutic use
  • Phenobarbital / therapeutic use
  • Phenytoin / therapeutic use
  • Propofol / therapeutic use
  • Status Epilepticus / complications
  • Status Epilepticus / drug therapy*
  • Status Epilepticus / mortality
  • Status Epilepticus / physiopathology
  • Valproic Acid / therapeutic use


  • Anticonvulsants
  • Benzodiazepines
  • Valproic Acid
  • Phenytoin
  • Midazolam
  • Propofol
  • Phenobarbital