Intracortical focal non-convulsive status epilepticus causing cerebral hypoxia and intracranial hypertension (notice n° 611703)
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fixed length control field | 02649cam a2200277 4500500 |
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control field | 20250121162619.0 |
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Language code of text/sound track or separate title | fre |
042 ## - AUTHENTICATION CODE | |
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Fernández-Torre, José L. |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | Intracortical focal non-convulsive status epilepticus causing cerebral hypoxia and intracranial hypertension |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2021.<br/> |
500 ## - GENERAL NOTE | |
General note | 95 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | We describe the pathophysiological consequences and long-term neurological outcome of a patient with acute brain injury (ABI) in whom intracortical electroencephalography (iEEG) captured an episode of prolonged focal non-convulsive status epilepticus (NCSE) that remained undetectable on scalp electroencephalography. A 53-year-old right-handed woman was admitted to hospital due to a large frontal left intraparenchymal hematoma. Over two and a half days, we captured recurrent non-convulsive electrographic and electroclinical seizures compatible with the diagnosis of intracortical focal NCSE. The patient remained sedated and a burst-suppression pattern was obtained. We also performed invasive brain multimodality monitoring including iEEG and measurements of intracranial pressure (ICP), partial brain tissue oxygenation (PbtO2) and brain temperature.During non-convulsive electrographic and electroclinical seizures, the values of PbtO2 decreased and those of ICP increased. Six months later, brain MRI revealed encephalomalacia localized to the left paramedial fronto-basal region. The neuropsychological assessment carried out one year after the injury showed scores below average in verbal learning memory, motor dexterity and executive functions. In summary, iEEG is a feasible innovative invasive technique that may be used to record non-convulsive electrographic and electroclinical seizures which remain invisible on the surface. Intracortical focal NCSE causes metabolic changes such as reduced brain oxygenation and an increase in ICP that can further damage previously compromised brain tissue. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | intracortical electroencephalography |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | intracortical seizures |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | invasive brain multimodality monitoring |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | non-convulsive status epilepticus |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | acute brain injury |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Hernández-Hernández, Miguel A. |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Mato-Mañas, David |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | de Lucas, Enrique Marco |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Gómez-Ruiz, Elsa |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Martín-Láez, Rubén |
Relator term | author |
786 0# - DATA SOURCE ENTRY | |
Note | Epileptic Disorders | Vol 23 | 6 | 2021-06-01 | p. 911-916 | 1294-9361 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-epileptic-disorders-2021-6-page-911?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-epileptic-disorders-2021-6-page-911?lang=en&redirect-ssocas=7080</a> |
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