Opinion
Video
Overview of Status Epilepticus and Prolonged Seizures in Epilepsy
Author(s):
A panelist discusses how early recognition and intervention in prolonged seizures and status epilepticus are essential to prevent neuronal injury, reduce long-term complications, and improve overall quality of life for patients.
Summary for Physicians:
Definition of Status Epilepticus:
Status epilepticus is defined as a seizure that persists for more than 5 minutes or recurrent seizures without full recovery of consciousness between episodes. This clinical threshold emphasizes the need for prompt intervention to prevent neuronal injury and systemic complications.
Definition of a Prolonged Seizure:
A prolonged seizure refers to a single epileptic episode lasting longer than the typical duration, generally accepted as greater than 5 minutes. It may or may not meet the criteria for status epilepticus but warrants urgent evaluation and treatment.
Impact on Quality of Life:
Prolonged seizures can significantly impact patient quality of life by increasing the risk of the following:
- Neuronal injury and cognitive impairment
- Psychological stress and anxiety about recurrence
- Limitations in daily activities, driving, and employment
- Social isolation and reduced independence
Early recognition and management are critical to improving long-term outcomes and minimizing the burden of disease.
