Status epilepticus in children: aetiology, treatment, and outcome

Title

Status epilepticus in children: aetiology, treatment, and outcome

Creator

Eriksson KJ; Koivikko MJ

Publisher

Developmental Medicine & Child Neurology

Date

1997

Subject

Child; Female; Male; Prevalence; Follow-Up Studies; Treatment Outcome; Risk Factors; Time Factors; Chi-Square Distribution; Anticonvulsants; Drug Administration Schedule; Anesthetics; Preschool; Non-U.S. Gov't; infant; retrospective studies; Human; Age Distribution; Electroencephalography; Sex Distribution; Neuropsychological Tests; Support; Adolescence; Shock; Status Epilepticus/dt [Drug Therapy]; Status Epilepticus/et [Etiology]; Barbiturates/ad [Administration & Dosage]; Diazepam/ad [Administration & Dosage]; Encephalitis/co [Complications]; Intravenous/ad [Administration & Dosage]; Meningitis; Nervous System Diseases/ep [Epidemiology]; Septic/co [Complications]; Status Epilepticus/di [Diagnosis]; Status Epilepticus/ep [Epidemiology]; Streptococcal Infections/co [Complications]; Viral/co [Complications]

Description

This retrospective study includes 65 children treated for status epilepticus at Tampere University Hospital in Finland. Aetiology of the condition, effectiveness of the treatment protocol, including short barbiturate anaesthesia to prevent prolonged status epilepticus episodes, and neurological outcome were evaluated. Symptomatic aetiology was present in 40% of status epilepticus episodes, and 37% of episodes were induced by fever. Neurological sequelae secondary to status epilepticus were identified in 15% of the cases and subsequent epilepsy in 23% during the mean follow-up time of 3.6 years. There were no status epilepticus-related deaths. The cut-off point of status epilepticus duration for significant risk for permanent neurological sequelae was 2 hours. Our treatment protocol, including short barbiturate anaesthesia in refractory cases, was able to abort status epilepticus in less than 2 hours in 75% of cases. We conclude that early and prompt use of barbiturate anaesthesia should be encouraged, and may explain our low morbidity figures.
1997

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

652-8

Issue

10

Volume

39

Citation

Eriksson KJ; Koivikko MJ, “Status epilepticus in children: aetiology, treatment, and outcome,” Pediatric Palliative Care Library, accessed December 3, 2021, https://pedpalascnetlibrary.omeka.net/items/show/11936.

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