Abstract
The status epilepticus treatment requires prompt intervention to control the general patient’s conditions and seizures.
The actual status epilepticus guides are recommending earlier management in terms of time in patients with not seizures control, thereby reducing mortality, comorbidity and hospital stance. The status epilepticus etiology is one of the biggest indicators that define the patient’s prognosis.
Antiepileptic drugs and anesthetics have historically proven effective, but up to 30% of patients may be refractory to conventional treatment. In the last two decades there have been efforts to improve treatment in refractory or not-refractory status epilepticus, introducing new antiepileptic drugs such as valproic acid, levetiracetam, topiramate, and more recently lacosamide. The indication and role of these drugs are increasingly gained acceptance in the status epilepticus treatment algorithms. The fundamental role of prologue electroencephalograms or continuous VideoEEG records, interpreted by trained personnel in epilepsy; have shown success to detect and monitor evident clinical seizures or subtle ictal activity, which may occur continuously or intermittently, when the seizures motor activity has disappeared or is difficult to see.
This chapter recommendation will be considered as a guide for all levels in the Colombian health system that is involved in many ways in the management of patients with epilepsy, specifically regarding the status epilepticus.
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