Management – Overview

For febrile seizures, priority is identifying and treating the source of the fever. Anticonvulsant therapy is not routinely required. Intermittent oral diazepam can be considered for recurrent febrile seizures to reduce risk of recurrence. Patient education on febrile seizure first aid and follow-up monitoring is also important.

In status epilepticus, the main priorities are maintaining the ABCs (airway, breathing, circulation), rapidly administering benzodiazepines to stop the seizure, and escalating to second-line agents if needed. It is also critical to identify and correct the underlying etiology, prevent systemic complications, provide neuroprotection, and utilize aggressive support measures for super-refractory cases.