Status epilepticus

Current Care Summary
The working group established by the Finnish Medical Society Duodecim, the Finnish Paediatric Neurology Society and the Finnish Neurological

Current Care Guideline «Epileptinen kohtaus (pitkittynyt; status epilepticus)»1 and Summary «Epileptinen kohtaus (pitkittynyt; status epilepticus)»2 in Finnish

Status epilepticus is a medical emergency. Most epileptic seizures last for 1−4 minutes. Seizures lasting over five minutes should be treated as status epilepticus. EEG is essential for diagnostics. The treatment can be divided into first-aid medications, such as buccal/intranasal midazolam or rectal diazepam, first-line medications such as intravenous diazepam or lorazepam, and second-line medications such as fosphenytoin, levetiracetam, valproate and lacosamide, and in addition phenobarbital for children. Third-line treatment is suppressive general anaesthesia, monitored by continuous EEG. Antiepileptic medication of patients with epilepsy should be carefully re-evaluated after status epilepticus.

Reetta Kälviäinen (Chair)

Stepani Bendel

Henna Jonsson

Tapani Keränen

Jouni Kurola

Tapani Salmi

Arja Tuunainen