심정지 후에 3 Hz 전반극서파가 지속되었던 혼수 환자
A Comatose Patient with Continuous Generalized 3 Hz Spike-and-Wave Discharges after Cardiac Arrest
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초록
The electroencephalogram exhibits continuous epileptiform discharges in many advanced coma stages, described as comatose nonconvulsive status epilepticus (NCSE). Comatose NCSE might represent an irreversible brain damage, but its causal role remains unclear. We experienced a comatose patient with continuous generalized 3 Hz spike-and-wave discharges after cerebral anoxia, which is a quiet similar electroencephalographic pattern of typical absence status epilepticus. This case indicates that NCSE in comatose patients may be overdiagnosed if the diagnosis is based on electroencephalographic alterations alone.
Abstract
The electroencephalogram exhibits continuous epileptiform discharges in many advanced coma stages, described as comatose nonconvulsive status epilepticus (NCSE). Comatose NCSE might represent an irreversible brain damage, but its causal role remains unclear. We experienced a comatose patient with continuous generalized 3 Hz spike-and-wave discharges after cerebral anoxia, which is a quiet similar electroencephalographic pattern of typical absence status epilepticus. This case indicates that NCSE in comatose patients may be overdiagnosed if the diagnosis is based on electroencephalographic alterations alone.
참고문헌 (10)
- Rittenberger JC, "Frequency and timing of nonconvulsive status epilepticus in comatose post-cardiac arrest subjects treated with hypothermia", Neurocrit Care, 16, pp.114~122 (2012)
- Kaplan PW, "EEG criteria for nonconvulsive status epilepticus", Epilepsia, (48 Suppl 8), pp.39~41 (2007)
- Bauer G, "Nonconvulsive status epilepticus and coma", Epilepsia, 51, pp.177~190 (2010)
- Young GB, "An assessment of nonconvulsive seizures in the intensive care unit using continuous EEG monitoring: an investigation of variables associated with mortality", Neurology, 47, pp.83~89 (1996)
- Sutter R, "Electroencephalographic criteria for nonconvulsive status epilepticus: synopsis and comprehensive survey", Epilepsia, 53(Suppl 3), pp.1~51 (2012)
- Beniczky S, "Unified EEG terminology and criteria for nonconvulsive status epilepticus", Epilepsia, 54(Suppl 6), pp.28~29 (2013)
- Genton P, "Absence status epilepsy: delineation of a distinct idiopathic generalized epilepsy syndrome", Epilepsia, 49, pp.642~649 (2008)
- Hopp JL, "Nonconvulsive status epilepticus: value of a benzodiazepine trial for predicting outcomes", Neurologist, 17, pp.325~329 (2011)
- Brigo F, "EEG features of nonconvulsive status epilepticus", Epileptic Disord, 14, pp.442~445 (2012)
- Fernández-Torre JL, "Nonconvulsive status epilepticus in adults:electroclinical differences between proper and comatose forms", Clin Neurophysiol, 123, pp.244~251 (2012)