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Status epilepticus (SE), or status seizure, is a medical condition with abnormally prolonged seizures, and which can have long-term consequences [3], manifesting as a single seizure lasting more than a defined time (time point 1), or 2 or more seizures over the same period without the person returning to normal between them.
Phenytoin or fosphenytoin supplemented with benzodiazepines are administered as the first line of therapy if the seizure persists for more than 5 –10 minutes. Through neuroimaging, clinical assessments, and spinal-fluid examination the patients are screened for intrinsic neurological anomalies.
[3] [8] If a seizure lasts longer than 5 minutes, it is a medical emergency (status epilepticus) and needs immediate treatment. [3] [5] [9] Seizures can be classified as provoked or unprovoked. [3] [6] Provoked seizures have a cause that can be fixed, such as low blood sugar, alcohol withdrawal, high fever, recent stroke, and recent head trauma.
The postictal state is the altered state of consciousness after an epileptic seizure.It usually lasts between 5 and 30 minutes, but sometimes longer in the case of larger or more severe seizures, and is characterized by drowsiness, confusion, nausea, hypertension, headache or migraine, and other disorienting symptoms.
“After 30 minutes, seizures cause brain damage. So he was likely getting one week’s worth of brain damage already out of the gate. ... “I had been having no more than two hours of sleep a ...
The risk of epilepsy following meningitis is less than 10%; it more commonly causes seizures during the infection itself. [72] In herpes simplex encephalitis the risk of a seizure is around 50% [ 72 ] with a high risk of epilepsy following (up to 25%).
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