Clinical characteristics and outcome of patients with status myoclonus following out of hospital cardiac arrest

Ruknuddeen, MI; Rajajee, Venkatakrishna; Ramadoss, Rajaram; Grzeskowiak, Luke E.; Rajagopalan, R.

doi:10.1186/2197-425x-3-s1-a198

ICMx

2015

DOI: 10.1186/2197-425x-3-s1-a198

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Clinical characteristics and outcome of patients with status myoclonus following out of hospital cardiac arrest

MI Ruknuddeen

Venkatakrishna Rajajee

Rajaram Ramadoss

et al.

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2017

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“…Other studies around that time also confirmed a poor prognosis in those with early PHM (11,12). Though more recent studies have reaffirmed the 0% false positive rate in determining poor outcome due to myoclonus (13)(14)(15)(16)(17)(18)(19), there have been a number of publications that demonstrate a higher false positive rate (3)(4)(5)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32), and have since challenged the way we view early PHM (33).…”

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confidence: 98%

Myoclonus after Cardiac Arrest: Where Do We Go from Here?

Freund

Kaplan

2017

Epilepsy Curr

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Prognostication after cardiac arrest often depends primarily on neurological function, and characterizing the extent of neurological injury hinges on neurophysiological testing and clinical neurological examination. The presence of early posthypoxic myoclonus (PHM) following cardiac arrest had been invariably associated with poor outcome, but more recent studies have shown that those with early PHM may survive with good neurological function. Electroencephalographic patterns suggestive of severe brain injury may be more valuable than the presence of PHM itself in portending poor functional status, and phenotyping PHM may also be useful in delineating benign and malignant forms. Patients with early PHM should be evaluated similarly to others who suffer cardiac arrest by using a multimodal approach in determining prognosis until further studies are performed that better characterize early PHM subtypes and their outcomes.

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mentioning

confidence: 98%

Myoclonus after Cardiac Arrest: Where Do We Go from Here?

Freund

Kaplan

2017

Epilepsy Curr

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Clinical characteristics and outcome of patients with status myoclonus following out of hospital cardiac arrest

Cited by 1 publication

References 2 publications

Myoclonus after Cardiac Arrest: Where Do We Go from Here?

Myoclonus after Cardiac Arrest: Where Do We Go from Here?

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