How are seizures treated in herpes simplex encephalitis (HSE)?

Updated: Jul 17, 2018
  • Author: Wayne E Anderson, DO, FAHS, FAAN; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Behavioral manifestations of HSE may resemble seizures, which are also common. Should seizure activity become apparent or should electroencephalography (EEG) show evidence of nonconvulsive seizures, begin anticonvulsant therapy.

Benzodiazepines may be useful for aborting status epilepticus but, because of their short duration, are ineffective at preventing further seizures. A longer-acting agent is preferable.


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