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Outcomes following prolonged convulsions

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Convulsive status epilepticus (CSE) is one of the more worrying paediatric emergencies. It’s less common now because of more ready availability of rapidly-acting anticonvulsants such as buccal midazolam in the community; but there remain concerns about what might happen to the child once the acute fits have stopped. Some earlier work suggested that a high proportion develop problems, but a recent unselected population-based study is more reassuring.

London-based researchers undertook a study back in 2002–2004 identifying all 226 children presenting to 21 north London hospitals with CSE which lasted for at least 30 minutes (NLSTEPS study, …

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