Neurology · Year 3 · from Neurology
Case 3: Status Epilepticus
Patient Demographics
- Age: 58 years
- Sex: Male
- Occupation: Bus driver (not currently working due to epilepsy)
Chief Complaint
EMS: "Continuous seizure activity for 15 minutes, still seizing."
History of Present Illness
The patient has a known history of epilepsy (focal to bilateral tonic-clonic seizures) for 20 years, on levetiracetam and phenytoin. His wife reports he ran out of phenytoin 3 days ago and was unable to refill due to insurance issues. This morning, she witnessed him have a seizure that has not stopped. EMS administered lorazepam 4 mg IV en route without improvement. On arrival to ED, he is still having rhythmic bilateral clonic movements, now 25 minutes since seizure onset.
Neurological Examination Findings
During Status Epilepticus:
- Unresponsive to verbal or painful stimuli
- Continuous bilateral rhythmic clonic jerking of extremities
- Eyes deviated upward
- Cyanotic, tachycardic (HR 130), BP 180/100
- Incontinent
- O2 sat 88% on room air
After Seizure Termination (40 minutes):
- GCS 10 (E2 V3 M5)
- Post-ictal state
- Pupils 5 mm, reactive
- No focal deficits appreciated
Status Epilepticus Definition
Convulsive Status Epilepticus (CSE):
- Continuous seizure activity ≥5 minutes, OR
- ≥2 discrete seizures without return to baseline between
- This patient: 25+ minutes of continuous convulsive activity = Established Status Epilepticus
Neuro Workup
- Labs:
- Glucose: 165 mg/dL
- Sodium: 136, Potassium: 3.2
- Calcium: 8.8, Magnesium: 1.7
- Phenytoin level: <2 mcg/mL (subtherapeutic; goal 10-20)
- Levetiracetam level: 18 mcg/mL (therapeutic)
- Lactate: 6.2 (elevated from seizure)
- ABG: pH 7.22, pCO2 50, pO2 65 (respiratory and metabolic acidosis)
- CBC, ammonia: Normal
- Urine drug screen: Negative
- CT Head: No acute findings, known left frontal encephalomalacia
- Continuous EEG: Electrographic seizure activity confirmed; later shows postictal suppression
Diagnosis
Established convulsive status epilepticus secondary to AED non-compliance (phenytoin withdrawal)
Management
Initial Stabilization (0-5 minutes):
- Secure airway - bag-mask ventilation, prepare for intubation
- IV access x2, cardiac monitoring
- Finger-stick glucose - treat if hypoglycemic (not applicable here)
- Thiamine 100 mg IV (empiric)
First-Line Treatment (5-10 minutes):
- Lorazepam 4 mg IV (given by EMS) - can repeat once
- Or: Midazolam 10 mg IM if no IV access
- Or: Diazepam 10 mg IV
Second-Line Treatment (10-30 minutes):
- Fosphenytoin 20 mg PE/kg IV (loading dose) given - seizure terminated
- Alternatives: Levetiracetam 60 mg/kg IV, valproate 40 mg/kg IV, or phenobarbital 15 mg/kg IV
- If seizure recurs, give additional 5-10 mg PE/kg fosphenytoin
Refractory Status (>30 minutes - would have occurred if second-line failed):
- Intubation and mechanical ventilation
- Continuous infusion of: Midazolam 0.2 mg/kg bolus, then 0.1-2 mg/kg/hr; or Propofol 2 mg/kg bolus, then 30-200 mcg/kg/min; or Pentobarbital 5-15 mg/kg bolus, then 0.5-5 mg/kg/hr
- Goal: EEG burst-suppression for 24-48 hours
Post-SE Management:
- Phenytoin maintenance dose resumed
- ICU admission for monitoring
- Continuous EEG for 24 hours to monitor for non-convulsive status
- Address barriers to medication access
- Social work consult for medication assistance program
Complications to Monitor:
- Aspiration pneumonia
- Rhabdomyolysis (check CK)
- Neurogenic pulmonary edema
- Cardiac arrhythmias
- Neuronal injury from prolonged seizure
Clinical Image
Image Description: Continuous EEG recording showing generalized rhythmic ictal activity consistent with electrographic status epilepticus.
Attribution: Image from Wikipedia Commons, public domain. Source: https://commons.wikimedia.org/wiki/File:Status_epilepticus_EEG.png