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Managing Prolonged Seizures in Children


Unless your doctor has advised otherwise, a seizure in a child with epilepsy which ends after a couple of minutes does not usually require a trip to the emergency room.

However, if it lasts more thanfive minutes without any sign of slowing down, is unusual in some way, or if a child has trouble breathing afterwards, appears to be injured or in pain, or recovery is different from usual, call for 911 for emergency help.

It is always good to discuss in advance with your doctor what to do should your child have a prolonged seizure.

Special Circumstances

Some children have convulsive seizures that are prolonged -- several minutes -- or seizures that sometimes occur in clusters.

New treatments are available that parents or caregivers can administer orally, rectally, or by injection to bring this type of seizure to an end. Ask your doctor whether these treatments may be appropriate for your child.

Seizures which produce body jerking, staring spells, or a state of confusion can also occur in clusters and fail to stop in the usual way.

prolonged

Managing Prolonged or Cluster Seizures

Take whatever action your doctor has suggested. This could include application of in-home therapy or going to the emergency room after a certain amount of time has passed.

If you have no specific directions from the doctor, call for emergency aid if the seizure continues for more than five minutes and shows no sign of slowing down, or if another seizure begins shortly afterwards.

Status Epilepticus

Prolonged or clustered seizures sometimes develop into non-stop seizures, a condition calledstatus epilepticus.

Status epilepticus is a medical emergency. It requires hospital treatment to bring the seizures under control. If your child has had episodes of non-stop seizures that had to be treated in the emergency room, you will want to have a plan of action ready in case they occur again.

Managing Status Epilepticus

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Managing Partial Seizures

A child who has partial seizures that affect his emotions or sense of the world around him may be intensely frightened by the episodes.

One little girl who had partial seizures in the area of the brain that controls vision (the occipital lobe) would "see" blobs of color that looked like monsters, a terrifying experience.

Children with this type of epilepsy need lots of reassurance -- and an adult who keeps track of how often the seizures occur. If they become prolonged and frequent, emergency treatment may be necessary.

Managing complex partial seizures requires gentle monitoring during the seizure, keeping hazards out of the way, reassuring the child in a calm voice, and keeping track of how long the seizure lasts.

Prolonged confusion and clusters of complex partial seizures may also require at home therapy as prescribed, or emergency treatment.


FIRST AID FOR SPECIAL CIRCUMSTANCES:










Additional epilepsy information is available on these pages:


















www.consultantsinneurology.com

Raymond Rybicki, MD

This information is for general educational uses only. It may not apply to you and your specific medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional. Communicate promptly with your physician or other health care professional with any health-related questions or concerns.

Be sure to follow specific instructions given to you by your physician or health care professional.



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