Stimulus-sensitive post-anoxic focal motor seizures evolving into generalised myoclonic status epilepticus: a video-EEG study

被引:4
|
作者
Fernandez-Torre, Jose L. [1 ,2 ]
Santos-Sanchez, Carlos [1 ]
Casariego-Pola, Francisco [1 ]
Calleja, Jesus [1 ]
机构
[1] Marques Valdecilla Univ Hosp, Dept Clin Neurophysiol, Santander 39008, Cantabria, Spain
[2] Univ Cantabria, Dept Physiol & Pharmacol, Santander, Cantabria, Spain
关键词
stimulus-sensitive post-anoxic seizures; post-hypoxic myoclonus; generalised myoclonic status epilepticus; stimulus-induced rhythmic periodic ictal discharges; ICTAL DISCHARGES SIRPIDS; CRITICALLY-ILL; COMA;
D O I
10.1684/epd.2010.0292
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe the case of a 62-year-old man who developed stimulus-induced focal motor seizures after prolonged cardiac arrest. During a video-EEG study, these focal motor seizures progressed into a generalised myoclonic status epilepticus. Both the severely decremented background activity on the EEG, and the absence of median and trigeminal somatosensory evoked potentials were in keeping with a devastating post-hypoxic encephalopathy and the patient died. Our clinical and electrophysiology data suggest that generalised myoclonic status epilepticus may occur in patients in whom the existence of severe cerebral damage prevents a complete development of all phases of classic generalised tonic-clonic seizures. [Published with video sequences]
引用
收藏
页码:69 / 74
页数:6
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