A 36-year-old man presents with generalised tonic-clonic seizures lasting more than 5 minutes without recovery of consciousness between events. He has...

Question

A 36-year-old man presents with generalised tonic-clonic seizures lasting more than 5 minutes without recovery of consciousness between events. He has no known epilepsy. Initial lorazepam IV fails to terminate seizures. What is the next recommended step in management of status epilepticus?

Accepted Answer

Start an intravenous second-line antiseizure drug such as phenytoin or levetiracetam

Answer

Administer additional benzodiazepines only

Answer

Observe for another 10 minutes before further treatment

Answer

Administer oral valproic acid

Answer

Discharge once seizures stop without further evaluation

ca-mccqe1 MCQ (SBA): Status epilepticus

A 36-year-old man presents with generalised tonic-clonic seizures lasting more than 5 minutes without recovery of consciousness between events. He has no known epilepsy. Initial lorazepam IV fails to terminate seizures. What is the next recommended step in management of status epilepticus?