Ann Pediatr Res | Volume 2, Issue 2 | Research Article | Open Access

Status Epilepticus in Children: A Study of 54 Cases

Fu-Yong Jiao^1*, Lei Ma¹, Robert Ouvrier² and Patrick Ho²

¹Department of Pediatrics, Children’s Hospital of Shaanxi Provincial People’s Hospital, China
²Department of Pediatrics, Royal Alexandra Hospital for Children, Australia

^*Correspondance to: Fu-Yong Jiao 

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Abstract

Objectives: To review the clinical character, the management and outcome of status epilepticus in childhood.Methodology: We conducted a retrospective review of 54 cases treated between 1996 and 1997 at the Royal Alexandra Hospital for Children, Sydney, Australia.Results: Of the status epilepticus, 61% were in male and 39% in female, with age range of 3 months to 15 years (average 5.3 years). Etiology of status epilepticus is age related, with acute causes common in the 1 to 3 years and 4 to 7 years, both totals together were 44 (81.5%) cases. The etiology of status epilepticus included febrile (35.18%), acute symptomatic (27.58%) and idiopathic (16.6%), total was 44 (81.4%) cases. Median length of PICU stay and days of mechanical ventilation were 3.02 ± 1.6 days and 1.24 ± 0.5 days respectively. Mortality was 5.3%. Most patients had used diazepam and phenytoin. The total number of the patients with good outcome or effect was 41 (75.89%).Conclusion: One of the most common neurologic emergencies in children-status epilepticus remains a major problem in morbidity and mortality. The commonest cause of status epilepticus is still idiopathic. Intravenously administered phenytoin and diazepam remains the first-line therapy for status epilepticus. Most of the patients will respond to the treatment.

Keywords:

Status epilepticus; Children, Management

Citation:

Jiao F-Y, Ma L, Ouvrier R, Ho P. Status Epilepticus in Children: A Study of 54 Cases. Ann Pediatr Res. 2018; 2(2): 1015.