Pediatric status epilepticus management.

PURPOSE OF REVIEW: This review discusses the management of status epilepticus in children, including both anticonvulsant medications and overall management approaches.

RECENT FINDINGS: Rapid management of status epilepticus is associated with a greater likelihood of seizure termination and better outcomes, yet data indicate that there are often management delays. This review discusses an overall management approach aiming to simultaneously identify and manage underlying precipitant causes, administer anticonvulsants in rapid succession until seizures have terminated, and identify and manage systemic complications. An example management pathway is provided.

SUMMARY: Status epilepticus is a common neurologic emergency in children and requires rapid intervention. Having a predetermined status epilepticus management pathway can expedite management.