[Epileptic emergencies].

Abstract

Convulsive status epilepticus is a major epileptic emergency. Prompt and effective treatment is requested to prevent death or neurological sequel. First-line drugs must have a favourable benefit to risk ratio. Refractory status must be treated aggressively by second-line sedative drugs. In this situation, EEG monitoring must diagnose subtle status epilepticus by controlling the disappearance of ictal discharges. Non-convulsive generalized or partial status epilepticus is a diagnostic challenge, best solved by emergency EEG. Immediate discontinuation of antiepileptic drugs is requested to avoid potentially serious idiosyncratic side-effects. Prescriptions habits will be avoided to prevent recurrence of isolated convulsive seizures.