Sökning: L773:2153 7658 OR L773:2153 7933
> (2013) >
Postanoxic status e...
Postanoxic status epilepticus can be identified and treatment guided successfully by continuous electroencephalography.
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- Westhall, Erik (författare)
- Lund University,Lunds universitet,Klinisk neurofysiologi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Neurophysiology,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Rundgren, Malin (författare)
- Lund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Lilja, Gisela (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Friberg, Hans (författare)
- Lund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Cronberg, Tobias (författare)
- Lund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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(creator_code:org_t)
- Mary Ann Liebert Inc, 2013
- 2013
- Engelska.
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Ingår i: Therapeutic hypothermia and temperature management. - : Mary Ann Liebert Inc. - 2153-7933 .- 2153-7658. ; 3:2, s. 84-87
- Relaterad länk:
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http://www.ncbi.nlm....
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Prognostication after cardiac arrest and therapeutic hypothermia is challenging. Recent data indicate that a subgroup of patients with postanoxic status epilepticus may recover. We describe a case of postanoxic status epilepticus with good outcome where a multimodal prognostic strategy motivated active and prolonged treatment. Our patient was a 61-year-old woman resuscitated from out-of-hospital cardiac arrest, treated with hypothermia, and monitored with continuous electroencephalography (EEG). Shortly after rewarming, 44 hours after cardiac arrest, electrographic status epilepticus developed and was manifested clinically by myoclonic seizures several hours later. Treatment was guided by continuous simplified EEG monitoring. Conventional antiepileptics were ineffective, and prolonged sedation was necessary to prevent recurrence. Magnetic resonance imaging, somatosensory evoked potentials, and repeated measurements of neuron-specific enolase were unremarkable and did not indicate a poor prognosis. Rather, the EEG characteristics suggested a potential for recovery, and therefore the patient was actively treated until recovery 3 weeks later. At follow-up after 4.5 months, she had only minor neurological sequels. We conclude that a favorable neurological outcome is possible despite prolonged postanoxic status epilepticus. A multimodal strategy for prognostication may help identify treatable cases. Continuous EEG monitoring is an important tool to detect and guide treatment of postanoxic status epilepticus.
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