Status Epilepticus: A Clinical Perspective ✦ Recent

, when long-term consequences like neuronal death or alteration of metabolic networks are likely to occur (typically 30 minutes). 2. Pathophysiology: The Failure of Termination

SE that persists despite first- and second-line agents requires anesthetic induction (e.g., Propofol , Midazolam infusion , or Ketamine ) and continuous EEG monitoring. 5. Prognosis and Challenges Status Epilepticus: A Clinical Perspective

Defined by electrographic seizure activity on EEG without overt convulsions. It is often underdiagnosed in critically ill patients, presenting as "twilight states" or unexplained coma. 4. Management Protocol Management follows a tiered escalation strategy: , when long-term consequences like neuronal death or

Characterized by prominent motor activity and impaired consciousness. This is the most common and life-threatening form. Status Epilepticus: A Clinical Perspective

Historically defined as 30 minutes of continuous seizure activity, the clinical definition of Status Epilepticus has shifted toward a more functional approach. The International League Against Epilepsy (ILAE) now recognizes two operational time points: