Should Postanoxic Status Epilepticus be Treated Aggressively?-No!

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_2F0A92694165
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Should Postanoxic Status Epilepticus be Treated Aggressively?-No!
Journal
Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
Author(s)
Rossetti A.O.
ISSN
1537-1603 (Electronic)
ISSN-L
0736-0258
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
32
Number
6
Pages
447-448
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
Electrographic status epilepticus and myoclonus represent frequent findings in patients surviving cardiac arrest; both features have been related to poor clinical outcome. Recent data have outlined that status epilepticus appearing during therapeutic hypothermia and sedation is practically and invariably related to a fatal issue, as opposed to some patients presenting status epilepticus and/or myoclonus after return to normothermic conditions. Although it seems reasonable to give a chance of awakening to the latter patients by administering consequent antiepileptic treatment, especially if other favorable prognostic markers are observed, an aggressive treatment of status epilepticus arising during hypothermia seems futile in view of the existing evidence.
Keywords
Anticonvulsants/therapeutic use, Humans, Hypothermia, Induced/methods, Status Epilepticus/therapy
Pubmed
Web of science
Open Access
Yes
Create date
07/12/2015 11:39
Last modification date
20/08/2019 13:13
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