Document Detail


Utility of bilateral Bispectral index (BIS) monitoring in a comatose patient with focal nonconvulsive status epilepticus.
MedLine Citation:
PMID:  21945334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a patient with an extensive right cerebral hematoma complicated by focal nonconvulsive status epilepticus (NCSE) in whom the use of the new bilateral BIS-Vista™ monitor was helpful in managing profound sedation and antiepileptic treatment in the absence of continuous EEG monitoring (CEEG). The analysis of color density spectral array (CDSA) showed stereotyped changes indicative of recurrent focal nonconvulsive seizures (NCSz) and NCSE. We noted a close correlation between NCSz and BIS value changes. EEGs during working hours always confirmed the persistence of focal NCSE. After several days of sedation, CDSA disclosed a gradual resolution of NCSE that was also confirmed by electroencephalography. The patient died of cardiorespiratory complications a few days later.
Authors:
José L Fernández-Torre; Miguel A Hernández-Hernández
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-09-23
Journal Detail:
Title:  Seizure     Volume:  21     ISSN:  1532-2688     ISO Abbreviation:  Seizure     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-23     Completed Date:  2012-04-13     Revised Date:  2014-10-21    
Medline Journal Info:
Nlm Unique ID:  9306979     Medline TA:  Seizure     Country:  England    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Ruptured / complications
Coma / physiopathology*
Consciousness Monitors*
Deep Sedation*
Electroencephalography
Female
Humans
Intracranial Aneurysm / complications
Midazolam
Monitoring, Physiologic / methods*
Propofol
Status Epilepticus / drug therapy*,  etiology,  physiopathology
Subarachnoid Hemorrhage / complications
Chemical
Reg. No./Substance:
R60L0SM5BC/Midazolam; YI7VU623SF/Propofol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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