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EEG in Status Epilepticus

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A reappraisal of the value of video-EEG recording in the emergency department.

Umberto Raucci, Stefano Pro, Matteo Di Capua, Giovanni Di Nardo, Maria Pia Villa, Pasquale Striano, Pasquale Parisi,

Introduction: Some neurologic conditions that can quickly and with low costs be recognized, classified and treated thanks to the availability of an EEG recording in an emergency setting. However, although considered a cheap, not invasive, highly accurate diagnostic investigation, still today, an EEG recording in emergency, in real time during ... Read more >>

Expert Rev Neurother (Expert review of neurotherapeutics)
[2020, :1-17]

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Herpes simplex encephalitis: A new type of “ICU-acquired infection”?

Fabien Hauw, Vera Dinkelacker, Pierre Jaquet, Hervé Vespignani, Charles Grégoire, Mathilde Perrin, Nicolas Engrand,

Electrophysiology; Infectious disease; Neurology; Neurosurgery; Intensive care medicine; Herpes simplex Encephalitis; Intensive care; Immunosuppression; ICU acquired Infection; Herpes simplex reactivation ... Read more >>

Heliyon (Heliyon)
[2020, 6(3):]

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Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient.

Frank A Rasulo, Tommaso Togni, Stefano Romagnoli,

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2020. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901. ... Read more >>

Crit Care (Critical care (London, England))
[2020, 24(1):100]

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Educational Initiatives and Implementation of Electroencephalography into the Acute Care Environment: a protocol of a Systematic Review

Shaurya Taran, Wael Ahmed, Esther Bui, Lara Prisco, Cecil Hahn, Victoria McCredie,

<title>Abstract</title> <p> Background: Use of electroencephalography (EEG) is currently recommended by the American Clinical Neurophysiology Society for a wide range of indications, including diagnosis of nonconvulsive status epilepticus and evaluation of unexplained disorders of consciousness. Data interpretation usually occurs by expert personnel (e.g. epileptologists, neurophysiologists), with information relayed ... Read more >>

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Efficacy and economic evaluation of delivery of care with tele-continuous EEG in critically ill patients: a multicentre, randomised controlled trial (Tele-cRCT) study protocol.

Chusak Limotai, Atiporn Ingsathit, Kunlawat Thadanipon, Oraluck Pattanaprateep, Anuchate Pattanateepapon, Kammant Phanthumchinda, Nijasri C Suwanwela, Iyavut Thaipisuttikul, Kanokwan Boonyapisit, Ammarin Thakkinstian,

INTRODUCTION:Some critically ill patients are confirmed by continuous electroencephalography (cEEG) monitoring that non-convulsive seizure (NCS) and/or non-convulsive status epilepticus (NCSE) are causes of their depressed level of consciousness. Shortage of epilepsy specialists, especially in developing countries, is a major limiting factor in implementing cEEG in general practice. Delivery of care ... Read more >>

BMJ Open (BMJ open)
[2020, 10(3):e033195]

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Nonconvulsive status epilepticus in the elderly.

S Dupont, K Kinugawa,

There is a higher incidence of status epilepticus in the older adult population that commonly presents as nonconvulsive status epilepticus (NCSE). NCSE most often corresponds to prolonged focal seizures with impaired consciousness with three main clinical presentations: i) an unexplained acute confusional state, ii) subtle eye, motor or behavioral signs ... Read more >>

Rev. Neurol. (Paris) (Revue neurologique)
[2020, :]

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Efficacy, Tolerability, and Safety of Concentrated Intranasal Midazolam Spray as Emergency Medication in Epilepsy Patients During Video-EEG Monitoring.

Anemone von Blomberg, Lara Kay, Susanne Knake, Sven Fuest, Johann Philipp Zöllner, Philipp S Reif, Eva Herrmann, Ümniye Balaban, Susanne Schubert-Bast, Felix Rosenow, Adam Strzelczyk,

BACKGROUND:An efficient, well tolerated, and safe emergency treatment with a rapid onset of action is needed to prevent seizure clusters and to terminate prolonged seizures and status epilepticus. OBJECTIVES:This study aimed to examine the efficacy, tolerability, and safety of intranasal midazolam (in-MDZ) spray in clinical practice. METHODS:In this retrospective, multicenter ... Read more >>

CNS Drugs (CNS drugs)
[2020, :]

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Cefepime-Induced Neurotoxicity Presenting with Nonconvulsive Status Epilepticus Admitted as a Stroke Alert.

John M Cunningham, Katherine V Sachs, Rebecca Allyn,

BACKGROUND Cefepime-induced neurotoxicity has been described in intensive care units (ICUs) and neuro ICU settings, occurring in patients started on cefepime for management of severe infections and sepsis. Most cases occur within 1 to 10 days after starting the drug. We publish a case that occurred on the general medical ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e921643]

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Comparison of pseudocontinuous arterial spin labeling perfusion MR images and time-of-flight MR angiography in the detection of periictal hyperperfusion.

Noritoshi Shirozu, Takato Morioka, So Tokunaga, Takafumi Shimogawa, Daisuke Inoue, Shoji Arihiro, Ayumi Sakata, Nobutaka Mukae, Sei Haga, Koji Iihara,

Background:Magnetic resonance imaging (MRI), including perfusion MRI with three-dimensional pseudocontinuous arterial spin labeling (ASL) and diffusion-weighted imaging (DWI), are applied in the periictal (including ictal and postictal) detection of circulatory and metabolic consequences associated with epilepsy. Our previous report revealed that periictal hyperperfusion can firstly be detected on ASL, and ... Read more >>

eNeurologicalSci (eNeurologicalSci)
[2020, 19:100233]

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Electrical status epilepticus in sleep (ESES) - Treatment pattern and EEG outcome in children with very high spike-wave index.

Natrujee Wiwattanadittakul, Dewi Depositario-Cabacar, Tesfaye G Zelleke,

OBJECTIVE:The objective of the study was to determine electrical status epilepticus in sleep (ESES) outcome in children with very high spike-wave index (SWI; ≥85%), and assess treatment pattern. METHODS:Medical records of children 1-17 years old with ESES were reviewed. In this study, ESES is defined as SWI in non-rapid eye movement ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 105:106965]

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Electroencephalographic analysis in soman-exposed 21-day-old rats and the effects of midazolam or LY293558 with caramiphen.

Marcio De Araujo Furtado, Vassiliki Aroniadou-Anderjaska, Taiza H Figueiredo, James P Apland, Maria F M Braga,

Acute nerve agent exposure induces status epilepticus (SE), which can cause brain damage or death. Research aiming at developing effective therapies for controlling nerve agent-induced SE is commonly performed in adult rats. The characteristics of nerve agent-induced SE in young rats are less clear; relevant knowledge is necessary for developing ... Read more >>

Ann. N. Y. Acad. Sci. (Annals of the New York Academy of Sciences)
[2020, :]

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A probable role of copper in the comorbidity in Wilson's and Creutzfeldt-Jakob's Diseases: a case report.

Effrosyni Koutsouraki, Dimitrios Michmizos, Olga Patsi, John Tzartos, Martha Spilioti, Marianthi Arnaoutoglou, Magda Tsolaki,

BACKGROUND:To the best of our knowledgedd, there is currently no case in the literature reporting the comorbidity of Wilson's and Creutzfeldt-Jakob disease (CJD), linked through copper. CASE PRESENTATION:A 44-year-old male with a history of inherited Wilson's disease (hepatolenticular degeneration), which manifested as mild liver injury and psychiatric symptoms, was admitted ... Read more >>

Virol. J. (Virology journal)
[2020, 17(1):35]

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Transcranial direct current stimulation alleviates seizure severity in kainic acid-induced status epilepticus rats.

Yi-Jen Wu, Miao-Er Chien, Chih-Hsu Huang, Chia-Chu Chiang, Chou-Ching Lin, Chin-Wei Huang, Dominique M Durand, Kuei-Sen Hsu,

Status epilepticus (SE) is a state of prolonged and repeated seizures that can lead to permanent brain damage or life-threatening conditions. Transcranial direct current stimulation (tDCS) non-invasively provides a polarity-specific electric current to modulate brain excitability. Little is known about the therapeutic potential of tDCS in SE. Here, we aim ... Read more >>

Exp. Neurol. (Experimental neurology)
[2020, 328:113264]

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Status Epilepticus Manifested as Continuous Epileptic Spasms.

Jianxiang Liao, Tieshuan Huang, Myriam Srour, Yuhan Xiao, Yan Chen, Sufang Lin, Li Chen, Yan Hu, Lina Men, Jialun Wen, Bing Li, Feiqiu Wen, Lan Xiong,

Objective: The etiology and outcome of status epilepticus with continuous epileptic spasms have not been fully understood; and only rare cases have been reported in the literature. Here, we described 11 children, who manifested continuous epileptic spasms with various etiologies and different outcomes. Methods: This is a case series study ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:65]

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Analyzing clinical and genetic characteristics of a cohort with multiple congenital anomalies-hypotonia-seizures syndrome (MCAHS).

Xianru Jiao, Jiao Xue, Pan Gong, Xinhua Bao, Ye Wu, Yuehua Zhang, Yuwu Jiang, Zhixian Yang,

OBJECTIVE:To summarize and extend the phenotypic characterization of Multiple Congenital Anomalies-Hypotonia-Seizures Syndrome, and to discuss genotype-phenotype correlations. METHODS:Collecting clinical information of 17 patients with pathogenic variants in PIGN, PIGA, and PIGT. Genetic studies were performed on all patients. RESULTS:There were 7 patients with 15 PIGN mutations (one patient carrying 3 ... Read more >>

Orphanet J Rare Dis (Orphanet journal of rare diseases)
[2020, 15(1):78]

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Predisposing factors and prognosis of status epilepticus in patients with autoimmune encephalitis.

Yu Zhang, Chen Deng, Lina Zhu, Liu Ling,

The aim of this study was to study the predisposing factors and prognosis of status epilepticus (SE) in patients with autoimmune encephalitis (AE).A total of 227 cases of AE were collected from the inpatient department of West China Hospital of Sichuan University from January 2010 to May 2018. All patients ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(13):e19601]

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Acute visual impairment as a main presenting symptom of non-convulsive status epilepticus: a case report.

Yi Yang, Shunyuan Zhang, Jinfeng Duan, Xianwen Zhang, Yufeng Tang,

BACKGROUND:Nonconvulsive status epilepticus (NCSE) is a state of ongoing seizure activity without convulsions. The heterogeneous and subtle clinical features of NCSE make diagnosis and treatment challenging. Here, we report a patient with NCSE who showed a main presenting symptom of acute visual impairment, which is a rare and atypical clinical ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):51]

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The coexistence of psychogenic nonepileptic and epileptic seizures in the same patient is more frequent than expected: Is there any clinical feature for defining these patients?

Mehmet Ilker Yon, Filiz Azman, F Irsel Tezer, Serap Saygi,

OBJECTIVES:This study aimed to investigate the prevalence of psychogenic nonepileptic seizures (PNES) and PNES-epilepsy coexistence within all video-electroencephalography (EEG) monitoring unit (VEMU) referrals and to identify semiological and electrophysiological features to differentiate patients with PNES-epilepsy coexistence from PNES-only. METHODS:We retrospectively reviewed medical files, VEMU reports, and videos of 1983 adult ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 105:106940]

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Diagnostic Reliability of Headset-Type Continuous Video EEG Monitoring for Detection of ICU Patterns and NCSE in Patients with Altered Mental Status with Unknown Etiology.

Satoshi Egawa, Toru Hifumi, Hidetoshi Nakamoto, Yasuhiro Kuroda, Yuichi Kubota,

BACKGROUND/OBJECTIVE:Simplified continuous electroencephalogram (cEEG) monitoring has shown improvement in detecting seizures; however, it is insufficient in detecting abnormal EEG patterns, such as periodic discharges (PDs), rhythmic delta activity (RDA), spikes and waves (SW), and continuous slow wave (CS), as well as nonconvulsive status epilepticus (NCSE). Headset-type continuous video EEG monitoring ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, 32(1):217-225]

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Perinatal thalamic injury: MRI predictors of electrical status epilepticus in sleep and long-term neurodevelopment.

Bart van den Munckhof, Anne F Zwart, Lauren C Weeke, Nathalie H P Claessens, Joost D J Plate, Alexander Leemans, Hugo J Kuijf, Heleen C van Teeseling, Frans S S Leijten, Manon J N Benders, Kees P J Braun, Linda S de Vries, Floor E Jansen,

OBJECTIVE:Perinatal thalamic injury is associated with epilepsy with electrical status epilepticus in sleep (ESES). The aim of this study was to prospectively quantify the risk of ESES and to assess neuroimaging predictors of neurodevelopment. METHODS:We included patients with perinatal thalamic injury. MRI scans were obtained in the neonatal period, around ... Read more >>

Neuroimage Clin (NeuroImage. Clinical)
[2020, 26:102227]

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Encephalopathy related to status epilepticus during slow sleep (ESES) as atypical evolution of Panayiotopoulos syndrome: an EEG and neuropsychological study.

Hirokazu Oguni, Yoshiko Hirano, Satoru Nagata,

We report two patients with Panayiotopoulos syndrome (PS) who developed encephalopathy related to status epilepticus during slow sleep (ESES) at the peak of their clinical course. Clinical charts and EEG data were reviewed. The patients exhibited nocturnal autonomic seizures and occipital EEG foci, the latter of which later evolved into ... Read more >>

Epileptic Disord (Epileptic disorders : international epilepsy journal with videotape)
[2020, 22(1):67-72]

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48-hour video-EEG monitoring for epilepsy presurgical evaluation is cost-effective and safe in resource-limited setting.

Kheng-Seang Lim, Si-Lei Fong, Minh-An Thuy Le, Sherrini Ahmad Bazir, Vairavan Narayanan, Noraini Ismail, Shweh-Fern Loo, Kohila Krishnan, Chong-Tin Tan,

INTRODUCTION:Video-EEG monitoring is one of the key investigations in epilepsy pre-surgical evaluation but limited by cost. This study aimed to determine the efficacy and safety of a 48-hour (3-day) video EEG monitoring, with rapid pre-monitoring antiepileptic drugs withdrawal. MATERIAL AND METHODS:This is a retrospective study of epilepsy cases with VEM ... Read more >>

Epilepsy Res. (Epilepsy research)
[2020, 162:106298]

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Development of a model to predict electroencephalographic seizures in critically ill children.

France W Fung, Marin Jacobwitz, Darshana S Parikh, Lisa Vala, Maureen Donnelly, Jiaxin Fan, Rui Xiao, Alexis A Topjian, Nicholas S Abend,

OBJECTIVE:Electroencephalographic seizures (ESs) are common in encephalopathic critically ill children, but ES identification with continuous electroencephalography (EEG) monitoring (CEEG) is resource-intense. We aimed to develop an ES prediction model that would enable clinicians to stratify patients by ES risk and optimally target limited CEEG resources. We aimed to determine whether ... Read more >>

Epilepsia (Epilepsia)
[2020, 61(3):498-508]

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Exploring with [18F]UCB-H the in vivo Variations in SV2A Expression through the Kainic Acid Rat Model of Temporal Lobe Epilepsy.

Maria Elisa Serrano, Mohamed Ali Bahri, Guillaume Becker, Alain Seret, Charlotte Germonpré, Christian Lemaire, Fabrice Giacomelli, Frédéric Mievis, André Luxen, Eric Salmon, Bernard Rogister, Robrecht Raedt, Alain Plenevaux,

PURPOSE:The main purpose of this study was to understand how the positron emission tomography (PET) measure of the synaptic vesicle 2A (SV2A) protein varies in vivo during the development of temporal lobe epilepsy (TLE) in the kainic acid rat model. PROCEDURES:Twenty Sprague Dawley male rats were administered with multiple systemic ... Read more >>

Mol Imaging Biol (Molecular imaging and biology)
[2020, :]

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Expanding the clinical and EEG spectrum of CNKSR2-related encephalopathy with status epilepticus during slow sleep (ESES).

Claudia M Bonardi, Cyril Mignot, Jose M Serratosa, Beatriz G Giraldez, Raffaella Moretti, Gabrielle Rudolf, Chiara Reale, Pia M Gellert, Katrine M Johannesen, Gaetan Lesca, Carlo A Tassinari, Elena Gardella, Rikke S Møller, Guido Rubboli,

OBJECTIVE:To investigate the clinical and EEG features of Encephalopathy with Status Epilepticus during slow Sleep (ESES) related to CNKSR2 pathogenic variants. METHODS:Detailed clinical history, repeated wakefulness/overnight sleep EEGs, brain MRI were collected in five patients, including one female, with CNKSR2-related ESES. RESULTS:Neurodevelopment in infancy was normal in two patients, delayed ... Read more >>

Clin Neurophysiol (Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology)
[2020, 131(5):1030-1039]

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