← Critical-care EEG
Electroclinical status epilepticus
Electroclinical seizures meeting status-duration or hourly-burden criteria, with a separate threshold for ongoing bilateral tonic-clonic activity.
Criteria & assessment
- ECSz persists >=10 continuous minutes OR occupies >=20% of any 60-minute interval.
- Exception: ongoing bilateral tonic-clonic motor seizure qualifies at >=5 continuous minutes.
- Known epileptic encephalopathy additionally requires increased prominence/frequency of discharges from baseline with clinical deterioration, OR EEG and clinical improvement following parenteral antiseizure medication.
Source · 2021ACNS critical-care EEG terminology · PDF p. 24 ↗
Editorial draft · clinical review pending