Department of Neuroscience, Children's National Medical Center, Washington, DC 20010, USA.
Semin Pediatr Neurol. 2010 Sep;17(3):144-9. doi: 10.1016/j.spen.2010.06.003.
Status epilepticus (SE) is an acute neurologic emergency that requires prompt recognition and initiation of treatment. Recognition can be difficult because SE comes in many forms and has been defined differently over the past decade. We present the general consensus definition of SE and how to use the definition, including a modified operational definition, to guide management. Furthermore, evaluation of the child who presents in SE is important to determine the etiology and identify underlying causes that may require additional treatment. Evaluation may include measurement of electrolytes, lumbar puncture, drug levels, electroencephalography, and/or neuroimaging. Recent data are presented that update the current practice parameter guidelines and also indicate that neuroimaging is important in cases of new-onset SE and can help significantly in the diagnosis and management.
癫痫持续状态（SE）是一种急性神经系统急症，需要及时识别和开始治疗。由于 SE 有多种形式，并且在过去十年中定义不同，因此识别可能具有挑战性。我们提出了 SE 的一般共识定义以及如何使用该定义，包括修改后的操作定义，以指导管理。此外，评估出现 SE 的儿童对于确定病因和识别可能需要额外治疗的潜在原因很重要。评估可能包括电解质测量、腰椎穿刺、药物水平、脑电图和/或神经影像学检查。本文介绍了更新当前实践参数指南的最新数据，也表明神经影像学在新发 SE 病例中很重要，并且可以在诊断和管理中发挥重要作用。
