Intracranial pressure monitoring and cerebral oedema

Continuous intracranial pressure monitoring is advisable, especially in children in the presence of persisting, severe, or progressive elevated intracranial pressure. The need for active therapy is usually determined by the underlying cause rather than the status epilepticus. Intermittent positive pressure ventilation, high-dose corticosteroid therapy (4 mg dexamethasone every 6 hours), or mannitol infusion may be used (the latter is usually reserved for temporary respite for patients in danger of tentorial coning). Neurosurgical decompression is occasionally required.

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