Utility of bilateral Bispectral index (BIS) monitoring in a comatose patient with focal nonconvulsive status epilepticus

被引：14

作者：

Fernandez-Torre, Jose L. ^{[1
,3
,4
]}

Hernandez-Hernandez, Miguel A. ^{[2
,4
]}

机构：

[1] Marques de Valdecilla Univ Hosp, Dept Clin Neurophysiol, Santander 39008, Cantabria, Spain

[2] Marques de Valdecilla Univ Hosp, Dept Intens Med, Santander 39008, Cantabria, Spain

[3] Univ Cantabria UNICAN, Dept Physiol & Pharmacol, Santander, Cantabria, Spain

[4] Inst Formac & Invest Marques de Valdecilla IFIMAV, Santander, Spain

来源：

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2012年 / 21卷 / 01期

关键词：

Nonconvulsive status epilepticus; Nonconvulsive seizures; Bispectral index; Coma; Profound sedation; INTENSIVE-CARE-UNIT; SEIZURES;

D O I：

10.1016/j.seizure.2011.09.001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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 (TM) 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. (C) 2011 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

引用

页码：61 / 64

页数：4

共 9 条

[1] Which EEG patterns warrant treatment in the critically ill? Reviewing the evidence for treatment of periodic epileptiform discharges and related patterns [J].

Chong, DJ ;

Hirsch, LJ .

JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 2005, 22 (02) :79-91

[2]

Dahaba AA, 2010, MINERVA ANESTESIOL, V76, P298

[3] The Bispectral Index Scale:: Its use in the detection of brain death [J].

Escudero, D ;

Otero, J ;

Muñiz, G ;

Gonzalo, JA ;

Calleja, C ;

González, A ;

Martínez, A ;

Parra, D ;

Yano, R ;

Taboada, F .

TRANSPLANTATION PROCEEDINGS, 2005, 37 (09) :3661-3663

[4] Can bispectral index monitoring predict recovery of consciousness in patients with severe brain injury? [J].

Fàbregas, N ;

Gambús, PL ;

Valero, R ;

Carrero, EJ ;

Salvador, L ;

Zavala, E ;

Ferrer, E .

ANESTHESIOLOGY, 2004, 101 (01) :43-51

[5] Continuous Electroencephalogram Monitoring in the Intensive Care Unit [J].

Friedman, Daniel ;

Claassen, Jan ;

Hirsch, Lawrence J. .

ANESTHESIA AND ANALGESIA, 2009, 109 (02) :506-523

[6] How Seizure Detection by Continuous Electroencephalographic Monitoring Affects the Prescribing of Antiepileptic Medications [J].

Kilbride, Ronan D. ;

Costello, Daniel J. ;

Chiappa, Keith H. .

ARCHIVES OF NEUROLOGY, 2009, 66 (06) :723-728

[7] Nonconvulsive status epilepticus in comatose adults [J].

Luis Fernandez-Torre, Jose .

REVISTA DE NEUROLOGIA, 2010, 50 (05) :300-308

[8] Can BIS monitoring be used to assess the depth of propofol anesthesia in the treatment of refractory status epilepticus? [J].

Musialowicz, Tadeusz ;

Mervaala, Esa ;

Kalviainen, Reetta ;

Uusaro, Ari ;

Ruokonen, Esko ;

Parviainen, Ilkka .

EPILEPSIA, 2010, 51 (08) :1580-1586

[9]

Young GB, 1996, NEUROLOGY, V47, P83

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