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← 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.

Editorial draft · clinical review pending