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Arch Neurol. 2002;59:188-189.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THE 4 decades since the participants of the Marseilles colloquium set in motion the contemporary study of status epilepticus,¹ neurologists have seen several shifts in our understanding of the disorder and its treatment. The definition of status epilepticus arising from that meeting was "a fixed and lasting epileptic condition," which has most often been interpreted to mean 30 minutes of either continuous seizure activity or repetitive seizures without recovery between them and frequently without a specified duration. These 2 types differ prognostically.² In a prehospital study in San Francisco, Calif, status epilepticus was essentially declared if a patient was still experiencing a seizure when emergency medical personnel arrived.³ Some of us have argued that the definition should be statistical, based on the selection of a point at which seizures become unlikely to terminate spontaneously.⁴ A subsequent study suggested that more than half of seizures lasting longer than 10 minutes . . . [Full Text of this Article]

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