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HSE National Clinical Guideline

HSE National Clinical Guideline for Status Epilepticus: Management in children/adolescents from 1 month to 18 years


Topic: Status epilepticus: management in children/adolescents from 1 month to 18 years
Document Owner: Department of Neurology and Clinical Neurophysiology @ Children’s Health Ireland
National Group: National Clinical Programme for Paediatrics and Neonatology
Effective From: 15 October 2025
The aim of this guideline is to provide an evidence-based approach in the assessment and management of children/adolescents from 1 month to 18 years presenting with status epilepticus.

Status epilepticus is a medical emergency requiring rapid diagnosis and management. Status epilepticus is the most common paediatric neurological emergency, with significant morbidity and mortality. Management includes prompt administration of appropriately selected anti-seizure medications, identification, and management of any seizure precipitant(s), as well as identification and management of associated systemic complications. Non-adherence to status epilepticus guidelines can affect patient outcomes negatively. This guideline does not apply to the management of infants less than one month with status epilepticus or children with epilepsy and increased seizures from baseline.