Management of convulsive status epilepticus: recent updates

Convulsive status epilepticus (SE) is a medical emergency associated with high morbidity and mortality. Recently, clinical trials and meta-analyses investigating medical treatment of SE have been published. Benzodiazepine is well known as the first-line treatment for SE. Recent evidence suggests the...

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Main Author: Jung-Ick Byun
Format: Article
Language:English
Published: Korean Encephalitis and Neuroinflammation Society 2023-04-01
Series:Encephalitis
Subjects:
Online Access:http://www.encephalitisjournal.org/upload/pdf/encephalitis-2022-00087.pdf
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author Jung-Ick Byun
author_facet Jung-Ick Byun
author_sort Jung-Ick Byun
collection DOAJ
description Convulsive status epilepticus (SE) is a medical emergency associated with high morbidity and mortality. Recently, clinical trials and meta-analyses investigating medical treatment of SE have been published. Benzodiazepine is well known as the first-line treatment for SE. Recent evidence suggests the equivalence of intravenous fosphenytoin, valproate, and levetiracetam for treatment of established SE. There is lack of evidence regarding treatment for refractory SE. Intravenous midazolam is commonly used, and recent evidence supports the use of ketamine. Additional studies are needed to improve the management of convulsive SE.
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spelling doaj.art-753255b0f1a1477da270428023f8c6f72023-04-27T06:41:47ZengKorean Encephalitis and Neuroinflammation SocietyEncephalitis2765-45592734-14612023-04-0132394310.47936/encephalitis.2022.0008745Management of convulsive status epilepticus: recent updatesJung-Ick ByunConvulsive status epilepticus (SE) is a medical emergency associated with high morbidity and mortality. Recently, clinical trials and meta-analyses investigating medical treatment of SE have been published. Benzodiazepine is well known as the first-line treatment for SE. Recent evidence suggests the equivalence of intravenous fosphenytoin, valproate, and levetiracetam for treatment of established SE. There is lack of evidence regarding treatment for refractory SE. Intravenous midazolam is commonly used, and recent evidence supports the use of ketamine. Additional studies are needed to improve the management of convulsive SE.http://www.encephalitisjournal.org/upload/pdf/encephalitis-2022-00087.pdfstatus epilepticusrandomized controlled trialdrug therapy
spellingShingle Jung-Ick Byun
Management of convulsive status epilepticus: recent updates
Encephalitis
status epilepticus
randomized controlled trial
drug therapy
title Management of convulsive status epilepticus: recent updates
title_full Management of convulsive status epilepticus: recent updates
title_fullStr Management of convulsive status epilepticus: recent updates
title_full_unstemmed Management of convulsive status epilepticus: recent updates
title_short Management of convulsive status epilepticus: recent updates
title_sort management of convulsive status epilepticus recent updates
topic status epilepticus
randomized controlled trial
drug therapy
url http://www.encephalitisjournal.org/upload/pdf/encephalitis-2022-00087.pdf
work_keys_str_mv AT jungickbyun managementofconvulsivestatusepilepticusrecentupdates