Comparing the efficacy of sodium valproate and levetiracetam following initial lorazepam in elderly patients with generalized convulsive status epilepticus (GCSE): A prospective randomized controlled pilot study

Status epilepticus (SE) is a neurological emergency with severe consequences especially in elderly with other co-morbidities (1). SE has a bimodal distribution with the highest incidence in children <1 year and adults older than 60 years (2,3). Generalized convulsive status epilepticus (GCSE) is the most common and life-threatening type of SE with an overall mortality of around 20%. Mortality is higher in the elderly being 30% to 70% (4,5).