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How many centers have immediate access to EEG monitoring? I would certainly go for paralysing agents with adequate sedation in cases of Status epilepticus / 'seizures refractory to most medications' even if there is no EEG monitoring. You could always start monitoring when it is available. But, I feel the benefits of controlled ventilation far outweigh the cons.

I agree that paralysing a patient with NM blockers would only mask the underlying cerebral activity. However, I think it is very important to try and reduce the overall BMR. This in turn would delay any subsequent Metabolic Acidosis. This, along with proper ventilation (aided by paralysing agents) would again be useful in preventing the eventually inevitable cerebral hypoxia and its subsequent fallouts.