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

Abstract: 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? 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.

 Autoría: Fernández-Torre J., Hernández-Hernández M.,

 Fuente: Seizure - European journal of epilepsy, 2012, 21(1), 61-64

 Editorial: Elsevier

 Año de publicación: 2012

 Nº de páginas: 4

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.seizure.2011.09.001

 ISSN: 1059-1311,1532-2688

 Url de la publicación: https://doi.org/10.1016/j.seizure.2011.09.001

Autoría

MIGUEL ANGEL HERNANDEZ HERNANDEZ