PMID- 28384518
OWN - NLM
STAT- MEDLINE
DCOM- 20180109
LR  - 20180109
IS  - 1532-2688 (Electronic)
IS  - 1059-1311 (Linking)
VI  - 48
DP  - 2017 May
TI  - Semiology of subtle motor phenomena in critically ill patients.
PG  - 33-35
LID - S1059-1311(17)30173-5 [pii]
LID - 10.1016/j.seizure.2017.03.018 [doi]
AB  - PURPOSE: to investigate the semiology of subtle motor phenomena in critically ill 
      patients, with- versus without nonconvulsive status epilepticus (NCSE). METHODS: 
      60 consecutive comatose patients, in whom subtle motor phenomena were observed in 
      the intensive care unit (ICU), were analysed prospectively. The semiology of the 
      subtle phenomena was described from video-recordings, blinded to all other data. 
      For each patient, the type, location and occurrence-pattern/duration were 
      described. EEGs recorded in the ICU were classified using the Salzburg criteria 
      for NCSE. RESULTS: only 23% (14/60) of the patients had NCSE confirmed by EEG. 
      None of the semiological features could distinguish between patients with NCSE 
      and those without. In both groups, the following phenomena were most common: 
      discrete myoclonic muscle twitching and discrete tonic muscle activation. Besides 
      these, automatisms and eye deviation were observed in both groups. CONCLUSION: 
      subtle motor phenomena in critically ill patients can raise the suspicion of 
      NCSE. Nevertheless, EEG is needed to confirm the diagnosis, since none of the 
      semiological features are specific.
CI  - Copyright (c) 2017 British Epilepsy Association. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Florea, Bogdan
AU  - Florea B
AD  - Epilepsy and EEG Monitoring Center Cluj-Napoca, Romania.
FAU - Beniczky, Simona Alexandra
AU  - Beniczky SA
AD  - Department of Neurology, Copenhagen University Hospital, Rigshospitalet Glostrup, 
      Denmark.
FAU - Demeny, Helga
AU  - Demeny H
AD  - Demed Clinics, Cluj-Napoca, Romania.
FAU - Beniczky, Sandor
AU  - Beniczky S
AD  - Department of Clinical Neurophysiology, Aarhus University, Aarhus, Denmark; 
      Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, 
      Denmark. Electronic address: sbz@filadelfia.dk.
LA  - eng
PT  - Journal Article
DEP - 20170330
PL  - England
TA  - Seizure
JT  - Seizure
JID - 9306979
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Brain/physiopathology
MH  - Child
MH  - Child, Preschool
MH  - Coma/*physiopathology
MH  - Critical Illness
MH  - Electroencephalography
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Middle Aged
MH  - Movement/*physiology
MH  - Prospective Studies
MH  - Status Epilepticus/physiopathology
MH  - Video Recording
MH  - Young Adult
OTO - NOTNLM
OT  - Coma
OT  - EEG
OT  - Nonconvulsive status epilepticus
OT  - Semiology
EDAT- 2017/04/07 06:00
MHDA- 2018/01/10 06:00
CRDT- 2017/04/07 06:00
PHST- 2017/03/05 00:00 [received]
PHST- 2017/03/26 00:00 [revised]
PHST- 2017/03/28 00:00 [accepted]
PHST- 2017/04/07 06:00 [pubmed]
PHST- 2018/01/10 06:00 [medline]
PHST- 2017/04/07 06:00 [entrez]
AID - S1059-1311(17)30173-5 [pii]
AID - 10.1016/j.seizure.2017.03.018 [doi]
PST - ppublish
SO  - Seizure. 2017 May;48:33-35. doi: 10.1016/j.seizure.2017.03.018. Epub 2017 Mar 30.