Third stage 06090 minutes Establish aetiology

The ranges of causes of status epilepticus depend primarily on age and the presence or absence of established epilepsy. The investigations required depend on clinical circumstances. CT or MRI and CSF examination are often necessary - the latter should be carried out only with facilities for resuscitation available as intracranial pressure is often elevated in status epilepticus.

If the status epilepticus has been precipitated by drug withdrawal, the immediate restitution of the withdrawn drug, even at lower doses, will usually rapidly terminate the status epilepticus.

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