Seizure Clusters: Current Concepts in Definition and Treatment - PubMed
6 hours ago
- #seizure clusters
- #epilepsy
- #rescue medication
- Seizure clusters (SCs) are an acute increase in seizure frequency relative to a patient's baseline, posing risks of injury, morbidity, and mortality.
- Management of SCs is heterogeneous due to lack of a universal definition and variability in seizure semiology and care settings.
- Outpatient treatment relies on caregivers recognizing SCs and administering rescue medications like diazepam or midazolam nasal sprays.
- Inpatient management follows status epilepticus protocols, including IV benzodiazepines and antiseizure medications like brivaracetam or lacosamide.
- Geographic differences in drug availability limit universal treatment protocols, leading to off-label use of oral benzodiazepines.
- An individualized Acute Seizure Action Plan (ASAP) is recommended for better SC management.