Question of the Week

Question :
Posted On : 21 Jun 2026
In a case of hypoxic convulsion and convulsion due to electrolyte imbalance, how long should the anticonvulsant be continued?
5
Expert Answer :
These are called acute symptomatic seizures. No need for long-term AEDs. Taper and omit prior to discharge.
Answer Discussion :
R
reshad noori
Profile
in case of hypoxic convulsion the ACT drug should be started for stoping acute convulsion and stabilize the patient by consider the ABCD protocol and for find the reason of convulsion hypoxia due to occulsion or in some cases due to hemmoraghe may be the reaon imaging study especailly MRI advised
in case of convulsion due to electrolyt imbalance the ACT advised for stoping conuslion then you must manage and replace the electrolyte based on hypo/ hyper electrolytemia

5 Days ago
K
Karen Bennington
Profile
In case of HIE, if seizures recurrent, then would depend on result of MRI. Usually would trial off from 72hrs to 1 week after last seizure but if seizures continue to recur, would consult with paeds neuro. in case of electrolytes imbalance, should cease when imbalance corrected and ACT ca be stopped
5 Days ago
T
tasneem hamza
Profile
hypoxic convulsions for life
electrolyte convulsions till correction of the electrolyte

5 Days ago
V
Victoria Mohasin
Profile
HIE 9 months maintenance dose
5 Days ago
O
OgahTimothy ejuorulim
Profile
over 72 hours, from last episode of convulsion.
then electrolyte should be given also

5 Days ago




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