Open AccessA Theoretical Paradigm for Evaluating Risk–Benefit of Status Epilepticus Treatment
Author(s) -
Edilberto Amorim,
Chris M McGraw,
M. Brandon Westover
Publication year - 2020
Publication title -
journal of clinical neurophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.657
H-Index - 99
eISSN - 1537-1603
pISSN - 0736-0258
DOI - 10.1097/wnp.0000000000000753
Subject(s) - status epilepticus , intensive care medicine , medicine , epilepsy , risk analysis (engineering) , psychiatry
Aggressive treatment of status epilepticus with anesthetic drugs can provide rapid seizure control, but it might lead to serious medical complications and worse outcomes. Using a decision analysis approach, this concise review provides a framework for individualized decision making about aggressive and nonaggressive treatment in status epilepticus. The authors propose and review the most relevant parameters guiding the risk-benefit analysis of treatment aggressiveness in status epilepticus and present real-world-based case examples to illustrate how these tools could be used at the bedside and serve to guide future research in refractory status epilepticus treatment.