Successful treatment of non‐convulsive status epilepticus diagnosed using bedside monitoring by a combination of amplitude‐integrated and two‐channel simplified electroencephalography

Egawa, Satoshi; Hifumi, Toru; Kawakita, Kenya; Manabe, Arisa; Matumura, Hikari; Okazaki, Tomoya; Hamaya, Hideyuki; Shinohara, Natuyo; Shishido, Hajime; Takano, Koshiro; Abe, Yuko; Hagiike, Masanobu; Kuroda, Yasuhiro

doi:10.1002/ams2.156

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Our institute provides a non‐invasive monitoring system combining two‐channel simplified continuous EEG (sEEG) and amplitude‐integrated EEG for the bedside monitoring of cerebral activities, which facilitates the identification of NCSE in emergency ICU with two‐channel limitations. The present study aimed to elucidate the clinical characteristics of NCSE in patients with AMS.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics of non‐convulsive status epilepticus diagnosed by simplified continuous electroencephalogram monitoring at an emergency intensive care unit

Egawa

Hifumi

Kawakita

et al. 2016

Acute Medicine & Surgery

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AimThe present study aimed to elucidate the clinical characteristics of non‐convulsive status epilepticus (NCSE) in patients with altered mental status (AMS).MethodsThis single‐center retrospective study comprised 149 patients who were hospitalized between March 1, 2015 and September 30, 2015 at the emergency intensive care unit (ICU) of the Kagawa University Hospital (Kagawa, Japan). The primary outcome was NCSE incidence. The secondary outcome was the comparison of duration of ICU stay, hospital stay, and a favorable neurological outcome, as assessed using the modified Rankin Scale score, at discharge from our hospital between patients with and without NCSE. Favorable neurological outcome and poor neurological outcome were defined as modified Rankin Scale scores of 0–2 and 3–6, respectively.ResultsSimplified continuous electroencephalogram was used to monitor 36 patients (median age, 68 years; 69.4% males) with acute AMS; among them, NCSE was observed in 11 (30.1%) patients. Rates of favorable neurological outcome, duration of ICU stay, and hospital stay were not significantly different between the NCSE and non‐NCSE groups (P = 0.45, P = 0.30, and P = 0.26, respectively).ConclusionApproximately 30% of the patients with AMS admitted to emergency ICUs developed NCSE. The outcomes of AMS patients with and without NCSE did not differ significantly when appropriate medical attention and antiepileptic drugs were initiated. Simplified continuous electroencephalogram monitoring may be recommended in patients with AMS in emergency ICU to obtain early detection of NCSE followed by appropriate intervention.

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Section: Introductionmentioning

confidence: 99%

Clinical characteristics of non‐convulsive status epilepticus diagnosed by simplified continuous electroencephalogram monitoring at an emergency intensive care unit

Egawa

Hifumi

Kawakita

et al. 2016

Acute Medicine & Surgery

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Levetiracetam in der Behandlung des Status epilepticus – ein update

Rösche

Dudek

Teleki

et al. 2019

Fortschr Neurol Psychiatr

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ZusammenfassungSeit 2004 liegen Publikationen zum Einsatz von Levetiracetam beim Status epilepticus vor. In der vorliegenden Arbeit werden basierend auf einer PubMed-Literatur-Recherche vom 06.07.2018 die nach dem 12.12.2011 erschienenen Arbeiten zusammenfassend dargestellt und in der Diskussion mit den älteren Arbeiten verglichen. Es wurden 28 Behandlungsepisoden in Berichten über 1-2 Fälle und 412 Behandlungsepisoden in Fallserien und prospektiven Studien beschrieben. Dabei ließ sich aus den Fallserien und Studien ein hochwahrscheinlicher Mittelwert der Erfolgsrate für die Status-Durchbrechung von 55,0 %-59,4 % ableiten. Auf-grund des zu vermutenden verzögerten Wirkungseitritts des Levetiracetams ist sein Einsatz beim Status generalisierter tonisch-klonischer Anfälle dennoch zu hinterfragen. Als Loading-Dosis erscheinen 30 mg / kg KG angemessen

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Neurocritical care update

Kuroda

2016

j intensive care

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This update comprises six important topics under neurocritical care that require reevaluation. For post-cardiac arrest brain injury, the evaluation of the injury and its corresponding therapy, including temperature modulation, is required. Analgosedation for target temperature management is an essential strategy to prevent shivering and minimizes endogenous stress induced by catecholamine surges. For severe traumatic brain injury, the diverse effects of therapeutic hypothermia depend on the complicated pathophysiology of the condition. Continuous electroencephalogram monitoring is an essential tool for detecting nonconvulsive status epilepticus in the intensive care unit (ICU). Neurocritical care, including advanced hemodynamic monitoring, is a fundamental approach for delayed cerebral ischemia following subarachnoid hemorrhage. We must be mindful of the high percentage of ICU patients who may develop sepsis-associated brain dysfunction.

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Successful treatment of non‐convulsive status epilepticus diagnosed using bedside monitoring by a combination of amplitude‐integrated and two‐channel simplified electroencephalography

Cited by 3 publications

References 13 publications

Clinical characteristics of non‐convulsive status epilepticus diagnosed by simplified continuous electroencephalogram monitoring at an emergency intensive care unit

Clinical characteristics of non‐convulsive status epilepticus diagnosed by simplified continuous electroencephalogram monitoring at an emergency intensive care unit

Levetiracetam in der Behandlung des Status epilepticus – ein update

Neurocritical care update

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