The cardinal feature of this serious epileptic state is continuous seizures or two or more seizures occurring in sequence without recovery of consciousness between them.
Treatment is divided into acute management and rational administration of drugs.
Generalized convulsive status epilepticus is the most common and most challenging form of status epilepticus. The patient has convulsive movements and is unconscious. The motor manifestations of convulsive status epilepticus may be symmetric, with tonic and then clonic activity. If the generalized seizures arise from a focus, then lateralized movements occur at the onset or during seizures. Physiologic monitoring must include electrocardiography, blood pressure, blood gases, biochemical assessment, and body temperature.