A 62-year-old man on ICU develops non-convulsive status epilepticus (NCSE) diagnosed on continuous EEG. He has a GCS of 8 but no visible convulsive ac...

Question

A 62-year-old man on ICU develops non-convulsive status epilepticus (NCSE) diagnosed on continuous EEG. He has a GCS of 8 but no visible convulsive activity. What is the most appropriate first-line treatment?

Accepted Answer

IV lorazepam 0.1 mg/kg (max 4 mg) as a first-line benzodiazepine

Answer

IV phenytoin 20 mg/kg loading dose

Answer

IV thiopentone to achieve burst suppression

Answer

Observation only - NCSE does not require treatment

Answer

Oral carbamazepine 400 mg

uk-fficm MCQ (SBA): Non-Convulsive Status Epilepticus

A 62-year-old man on ICU develops non-convulsive status epilepticus (NCSE) diagnosed on continuous EEG. He has a GCS of 8 but no visible convulsive activity. What is the most appropriate first-line treatment?