Un caso di convulsione protratta

A feverish 15 months baby with gastroenteritis was referred to the Emergency Room because of prolonged seizures started 15’ before access to hospital. Venous access proved impossible and despite of two administrations of rectal diazepam, seizures continued for more than 80’. The resolution of his status epilepticus became possible only when an intraosseous access was established allowing the infusion of midazolam. The gastroenteritis was further complicated by hypernatremic dehydration. Seizures management, intraosseous access and hypernatremic dehydration are discussed.