Status Epilepticus: Practical Guidelines in Management

by Ashalatha Radhakrishnan

Status epilepticus is a condition where new facets are added each day. The overused cliché ‘time is brain’ is not just a signature tune of stroke in neuroscience, but also of the shifting realities in status epilepticus, which warrants alert vigil and swift action. The definition, diagnosis and management of status epilepticus have changed and advanced substantially over the past decade. Given that seizure disorders are very common, the recognition and management of status epilepticus has become a challenge over the past few years, especially with the advent of sophisticated neuroimaging techniques and diagnostic tests. This book “Status Epilepticus: Practical Guidelines in Management” contains 10 chapters. Chapter 1 lucidly describes the progressive evolution of definition of status epilepticus, especially with reference to the time or duration. Chapters 2 to 5 touch open prehospital management, investigations, monitoring protocols and management guidelines in status epilepticus. Chapter 6 describes about anesthetic agents in status epilepticus. Chapter 7, on refractory and super-refractory status epilepticus, describes current approaches to treatment and reviews various aspects of prognosis. Chapters 8 and 9 on the ‘role of newer drugs’, and ‘altering the management strategies in persons with other comorbidities’ are also well compiled. Chapter 10, on nonconvulsive status epilepticus, needs special mention, since the author has supplemented the Electroencephalography (EEG) tracings to it, for crispness and clarity. The book is capped at the end by the editor herself with a detailed but simplified algorithm, for diagnosing and managing status epilepticus.

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