What is status epilepticus?
A seizure lasting >5 minutes or repeated seizures without recovery — a neurological emergency. Every minute of prolonged seizure causes brain damage.
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Emergency management
Benzodiazepines first-line, second-line agents (levetiracetam, fosphenytoin, valproate), anesthetic agents for refractory status. Airway protection essential.
Prevention
Medication adherence, adequate sleep, avoid triggers, regular follow-up, seizure action plan.