PMID- 21945334
OWN - NLM
STAT- MEDLINE
DCOM- 20120413
LR  - 20220316
IS  - 1532-2688 (Electronic)
IS  - 1059-1311 (Linking)
VI  - 21
IP  - 1
DP  - 2012 Jan
TI  - Utility of bilateral Bispectral index (BIS) monitoring in a comatose patient with 
      focal nonconvulsive status epilepticus.
PG  - 61-4
LID - 10.1016/j.seizure.2011.09.001 [doi]
AB  - 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.
CI  - Copyright (c) 2011 British Epilepsy Association. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Fernandez-Torre, Jose L
AU  - Fernandez-Torre JL
AD  - Department of Clinical Neurophysiology, Marques de Valdecilla University 
      Hospital, Santander, Cantabria, Spain. jlfernandez@humv.es
FAU - Hernandez-Hernandez, Miguel A
AU  - Hernandez-Hernandez MA
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110923
PL  - England
TA  - Seizure
JT  - Seizure
JID - 9306979
RN  - R60L0SM5BC (Midazolam)
RN  - YI7VU623SF (Propofol)
SB  - IM
MH  - Aged
MH  - Aneurysm, Ruptured/complications
MH  - Coma/*physiopathology
MH  - *Consciousness Monitors
MH  - *Deep Sedation
MH  - Electroencephalography
MH  - Female
MH  - Humans
MH  - Intracranial Aneurysm/complications
MH  - Midazolam
MH  - Monitoring, Physiologic/*methods
MH  - Propofol
MH  - Status Epilepticus/*drug therapy/etiology/physiopathology
MH  - Subarachnoid Hemorrhage/complications
EDAT- 2011/09/29 06:00
MHDA- 2012/04/14 06:00
CRDT- 2011/09/28 06:00
PHST- 2011/07/07 00:00 [received]
PHST- 2011/08/27 00:00 [revised]
PHST- 2011/09/04 00:00 [accepted]
PHST- 2011/09/28 06:00 [entrez]
PHST- 2011/09/29 06:00 [pubmed]
PHST- 2012/04/14 06:00 [medline]
AID - S1059-1311(11)00239-1 [pii]
AID - 10.1016/j.seizure.2011.09.001 [doi]
PST - ppublish
SO  - Seizure. 2012 Jan;21(1):61-4. doi: 10.1016/j.seizure.2011.09.001. Epub 2011 Sep 
      23.