Not everything that shakes is a seizure ... Role of continuous EEG in the intensive care unit

作者：Ritzenthaler Thomas; Laurencin Chloe; Obadia Nathalie Andre; Bodonian Carole; Dallier Frederic

来源：Neurophysiologie Clinique-Clinical Neurophysiology, 2017, 47(1): 13-18.

DOI：10.1016/j.neucli.2016.10.001

• Central pontine myelinolysis
• Osmotic demyelination syndrome
• Myoclonus
• Status epilepticus
• Electroencephalography
• Intensive care units

Treatment of status epilepticus often requires highly sedative drugs with risk of side effects. Correct diagnosis is mandatory in order to prevent introduction of usefulness treatments. We report a case of suspected myoclonic status epilepticus. A thalamic lesion secondary to an osmotic demyelination syndrome was found to be the likely etiology of the myoclonus. Electrophysiological data (electroencephalography and electromyography) provided evidence for a subcortical origin of myoclonus and use of continuous EEG allowed monitoring of drug withdrawal.

• 出版日期2017-2