Can BIS monitoring be used to assess the depth of propofol anesthesia in the treatment of refractory status epilepticus?

Abstract:

PURPOSE:Appropriate treatment of generalized convulsive refractory status epilepticus (RSE) requires general anesthesia in the intensive care unit (ICU) with continuous electroencephalography (cEEG) monitoring. During out of office hours and weekends, cEEG monitoring is not always available. The Bispectral Index (BIS) monitor can be used to assess the hypnotic component of general anesthesia. We conducted a study to evaluate the feasibility of using the BIS monitoring to assess the burst suppression (BS) pattern during propofol anesthesia in RSE. METHODS:Ten adult patients with RSE admitted to the ICU were monitored simultaneously with cEEG and BIS monitoring. We compared the BIS and suppression ratio (SR) values with the EEG burst suppression pattern when the depth of anesthesia was titrated to the BS level monitoring by cEEG. RESULTS:We found an excellent correlation between the cEEG burst rate per minute and the BIS (r² =-0.9; p< 0.001) and SR (r² = -0.88; p < 0.001). The sensitivity and specificity of BIS score of 30 to detect BS in electroencephalography were 99% and 98%, respectively. The BIS monitor was not able to recognize regional epileptic activity and epileptic bursts during the BS pattern. DISCUSSION:The cEEG can be considered as the primary monitoring technique in the assessment of the depth of anesthesia in the treatment of RSE. If cEEG is not available, the BIS monitor can be used to guide the level of anesthesia, targeting BS in patients with RSE.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Musialowicz T,Mervaala E,Kälviäinen R,Uusaro A,Ruokonen E,Parviainen I

doi

10.1111/j.1528-1167.2009.02514.x

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

1580-6

issue

8

eissn

0013-9580

issn

1528-1167

pii

EPI2514

journal_volume

51

pub_type

杂志文章
  • Rapid astrocyte and microglial activation following pilocarpine-induced seizures in rats.

    abstract::Astrocyte and microglial activation occurs following seizures and plays a role in epileptogenesis. However, the precise temporal and spatial response to seizures has not been fully examined. The pilocarpine model of temporal lobe epilepsy was selected to examine glial changes following seizures because morphological c...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01491.x

    authors: Shapiro LA,Wang L,Ribak CE

    更新日期:2008-01-01 00:00:00

  • Deep brain stimulation of the subthalamic nucleus as adjunct treatment for refractory epilepsy.

    abstract:PURPOSE:We studied the efficacy and safety of bilateral subthalamic deep brain stimulation (DBS) for refractory partial-onset epilepsy in two cases. METHODS:This was an open treatment pilot study for subjects who had failed numerous medications and had seizure injuries. Seizure counts and adverse events were collected...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00563.x

    authors: Handforth A,DeSalles AA,Krahl SE

    更新日期:2006-07-01 00:00:00

  • Patterns of altered functional connectivity in mesial temporal lobe epilepsy.

    abstract:PURPOSE:In mesial temporal lobe epilepsy (MTLE) the epileptogenic area is confined to the mesial temporal lobe, but other cortical and subcortical areas are also affected and cognitive and psychiatric impairments are usually documented. Functional connectivity methods are based on the correlation of the blood oxygen le...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03464.x

    authors: Pittau F,Grova C,Moeller F,Dubeau F,Gotman J

    更新日期:2012-06-01 00:00:00

  • SCN2A mutations and benign familial neonatal-infantile seizures: the phenotypic spectrum.

    abstract::Mutations of the sodium channel subunit gene SCN2A have been described in families with benign familial neonatal-infantile seizure (BFNIS). We describe two large families with BFNIS and novel SCN2A mutations. The families had 12 and 9 affected individuals, respectively, with phenotypes consistent with BFNIS. Two mutat...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2007.01049.x

    authors: Herlenius E,Heron SE,Grinton BE,Keay D,Scheffer IE,Mulley JC,Berkovic SF

    更新日期:2007-06-01 00:00:00

  • Tonic phase of a generalized convulsive seizure is an independent predictor of postictal generalized EEG suppression.

    abstract:PURPOSE:To determine the incidence, duration, risk factors for, and clinical correlates of postictal generalized electroencephalography (EEG) suppression (PGES), and to further delineate the significance of PGES in the pathogenesis of sudden unexpected death in epilepsy (SUDEP). METHODS:We retrospectively reviewed the...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12094

    authors: Tao JX,Yung I,Lee A,Rose S,Jacobsen J,Ebersole JS

    更新日期:2013-05-01 00:00:00

  • Gabapentin as adjunctive therapy for partial seizures.

    abstract::The safety, tolerability, and efficacy of gabapentin as adjunctive therapy were assessed in epileptic patients who had experienced up to four complex partial seizures per month while receiving phenytoin and/or carbamazepine. This was a multicenter, open-label prospective study, with the treatment period lasting 20 wee...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1528-1157.1999.tb00930.x

    authors: Bruni J

    更新日期:1999-01-01 00:00:00

  • Lennox-Gastaut syndrome with late-onset and prominent reflex seizures in trisomy 21 patients.

    abstract:PURPOSE:Lennox-Gastaut syndrome (LGS) is a severe epileptic condition characterized by multiple seizure types including tonic seizures, slow spike-and-wave discharges on electroencephalography (EEG), and cognitive impairment. LGS can occur in apparently healthy subjects or in patients with preexisting brain damage. The...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01944.x

    authors: Ferlazzo E,Adjien CK,Guerrini R,Calarese T,Crespel A,Elia M,Striano P,Gelisse P,Bramanti P,di Bella P,Genton P

    更新日期:2009-06-01 00:00:00

  • Zonisamide in epilepsy: a pilot study.

    abstract::We compared zonisamide monotherapy (12 weeks) to carbamazepine monotherapy (12 weeks) after phenytoin baseline monotherapy (8 weeks) in an open crossover pilot study of eight adults with uncontrolled partial seizures. Zonisamide had definite antiepileptic activity in five subjects. In two of these, response to zonisam...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05408.x

    authors: Wilensky AJ,Friel PN,Ojemann LM,Dodrill CB,McCormick KB,Levy RH

    更新日期:1985-05-01 00:00:00

  • Interictal psychoses in comparison with schizophrenia--a prospective study.

    abstract:PURPOSE:To prospectively investigate the incidence of interictal psychoses of epilepsy patients, and make a comparison between those with interictal psychoses and patients with schizophrenia in respect to their responses to antipsychotic drugs, as well as psychotic states. METHODS:We undertook a two-part prospective i...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01230.x

    authors: Tadokoro Y,Oshima T,Kanemoto K

    更新日期:2007-12-01 00:00:00

  • Cognitive impairment and cortical reorganization in children with benign epilepsy with centrotemporal spikes.

    abstract:PURPOSE:Benign epilepsy with centrotemporal spikes (BECTS) is associated with mild cognitive deficits, especially language impairment. This study aimed to clarify whether children with BECTS with left- or right-hemispheric, or bilateral focus have specific neuropsychological language deficits when compared to healthy c...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.12067

    authors: Datta AN,Oser N,Bauder F,Maier O,Martin F,Ramelli GP,Steinlin M,Weber P,Penner IK

    更新日期:2013-03-01 00:00:00

  • Vagus nerve stimulation for the treatment of bilateral independent temporal lobe epilepsy.

    abstract:PURPOSE:We studied the effect of vagus nerve stimulation (VNS) on seizure reduction in patients with intractable epilepsy with bilateral independent temporal lobe foci. METHODS:Ten patients who met the criterion of the presence of two distinctive clinical and ictal EEG seizure patterns were identified and followed up ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.042007954.x

    authors: Alsaadi TM,Laxer KD,Barbaro NM,Marks WJ Jr,Garcia PA

    更新日期:2001-07-01 00:00:00

  • Is inpatient ictal video-electroencephalographic monitoring mandatory in mesial temporal lobe epilepsy with unilateral hippocampal sclerosis? A prospective study.

    abstract:OBJECTIVE:To compare surgical outcome in mesial temporal lobe epilepsy (MTLE) patients with unilateral hippocampal sclerosis (MTLE-HS) who had or did not have preoperative video-electroencephalographic monitoring (VEEG). METHODS:A prospective study was undertaken with 166 consecutive pharmacoresistant unilateral MTLE-...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13977

    authors: Alvim MKM,Morita ME,Yasuda CL,Damasceno BP,Lopes TM,Coan AC,Ghizoni E,Tedeschi H,Cendes F

    更新日期:2018-02-01 00:00:00

  • Time trends in incidence, mortality, and case-fatality after first episode of status epilepticus.

    abstract:PURPOSE:Status epilepticus (SE) is a medical emergency associated with a high mortality. Clinical series have suggested that mortality after SE has decreased. No studies have systematically examined trends in incidence, mortality, and case fatality after SE in a well-defined population. METHODS:All first episodes of S...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.0420081031.x

    authors: Logroscino G,Hesdorffer DC,Cascino G,Annegers JF,Hauser WA

    更新日期:2001-08-01 00:00:00

  • Extracellular (36Cl) space, electrolyte, protein, and DNA content in brain of DBA and C57 mice: effects of age.

    abstract::DBA/2J (DBA) mice are susceptible to audiogenic seizures (AGSs) in an age-dependent manner, susceptibility being maximal at 21 days and absent at 110 days of age. Previous studies have demonstrated that there is a decrease in anion transport and an increase in carbonic anhydrase (CA) activity in brain from DBA mice as...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03511.x

    authors: Engstrom FL,Kemp JW,Chow SY,Woodbury DM

    更新日期:1986-03-01 00:00:00

  • Sublobar dysplasia--A clinicopathologic report after successful epilepsy surgery.

    abstract::We report the clinical presentation, neuroradiologic characteristics, and detailed histopathologic findings in a unique case of drug-resistant focal epilepsy due to sublobar dysplasia (SLD), treated successfully by resection of the malformed cortex. Histopathology with leptomeningeal and subcortical heterotopia, distu...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02326.x

    authors: Tuxhorn I,Woermann FG,Pannek HW,Hans VH

    更新日期:2009-12-01 00:00:00

  • An epidemiological study of children with status epilepticus in Okayama, Japan.

    abstract:BACKGROUND:The incidence of status epilepticus (SE) in Asian children, including Japanese, has not been reported. METHODS:In 2003, we performed an epidemiological study of SE on Japanese children (31 days or older to <15 years of age) in Okayama City by ascertaining all lifetime first episodes of SE. RESULTS:Thirty-s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01106.x

    authors: Nishiyama I,Ohtsuka Y,Tsuda T,Inoue H,Kunitomi T,Shiraga H,Kimura T,Fujimoto K

    更新日期:2007-06-01 00:00:00

  • Epilepsy in general practice: the Dutch situation.

    abstract::Treatment and supervision of epileptic patients is part of specialist medicine. A possible change in the role of specialists and general practitioners in the care of these patients was explored by a questionnaire mailed to all Dutch neurologists and a random sample of general practitioners. Patients were also asked th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03603.x

    authors: Rutgers MJ

    更新日期:1986-11-01 00:00:00

  • The effects of epilepsy and its treatment on sexual and reproductive function.

    abstract::Male and female sexuality and reproductive functions are complex systems with cortical, limbic system, hypothalamic, pituitary, and end organ interactions. Sexual steroids are produced in the sexual glands, the adrenals, and the brain. They undergo interconversion in the brain, bind to different brain areas, and have ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.2000.tb01524.x

    authors: Penovich PE

    更新日期:2000-01-01 00:00:00

  • Effect of anticonvulsants on cortical focal seizure in cats.

    abstract::Electrical stimulation of the visual cortex evoked the cortical focal seizure restricted in the neighbor cortex of the stimulated area in gallamine-immobilized cats. The present experiment was performed to clarify the participation of anticonvulsants in the cortex itself. Phenytoin and carbamazepine depressed the foca...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb05588.x

    authors: Ito T,Hori M,Yoshida K,Shimizu M

    更新日期:1977-03-01 00:00:00

  • Impact of an ICU EEG monitoring pathway on timeliness of therapeutic intervention and electrographic seizure termination.

    abstract:OBJECTIVES:We aimed to determine whether implementation of a structured multidisciplinary electroencephalography (EEG) monitoring pathway improved the timeliness of administration of antiseizure medication in response to electrographic seizures in encephalopathic critically ill children. METHODS:A multidisciplinary te...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13354

    authors: Williams RP,Banwell B,Berg RA,Dlugos DJ,Donnelly M,Ichord R,Kessler SK,Lavelle J,Massey SL,Hewlett J,Parker A,Topjian AA,Abend NS

    更新日期:2016-05-01 00:00:00

  • Epilepsy and deprivation, a data linkage study.

    abstract:OBJECTIVE:To investigate whether the link between epilepsy and deprivation is due to factors associated with deprivation (social causation) or factors associated with a diagnosis of epilepsy (social drift). METHODS:We reviewed electronic primary health care records from 2004 to 2010, identifying prevalent and incident...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12942

    authors: Pickrell WO,Lacey AS,Bodger OG,Demmler JC,Thomas RH,Lyons RA,Smith PE,Rees MI,Kerr MP

    更新日期:2015-04-01 00:00:00

  • Ipsilateral and contralateral MRI volumetric abnormalities in chronic unilateral temporal lobe epilepsy and their clinical correlates.

    abstract:PURPOSE:To assess the presence, extent, and clinical correlates of quantitative MR volumetric abnormalities in ipsilateral and contralateral hippocampus, and temporal and extratemporal lobe regions in unilateral temporal lobe epilepsy (TLE). METHODS:In total, 34 subjects with unilateral left (n = 15) or right (n = 19)...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2005.27004.x

    authors: Seidenberg M,Kelly KG,Parrish J,Geary E,Dow C,Rutecki P,Hermann B

    更新日期:2005-03-01 00:00:00

  • Epileptic spikes: magnetoencephalography versus simultaneous electrocorticography.

    abstract:PURPOSE:To test the sensitivity of extracranial magnetoencephalography (MEG) for epileptic spikes in different cerebral sites. METHODS:We simultaneously recorded MEG and electrocorticography (ECoG) by using subdural electrodes with 1-cm interelectrode distances for one patient with lateral frontal epilepsy and one pat...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.10702.x

    authors: Oishi M,Otsubo H,Kameyama S,Morota N,Masuda H,Kitayama M,Tanaka R

    更新日期:2002-11-01 00:00:00

  • [11C]flumazenil positron emission tomography visualizes frontal epileptogenic regions.

    abstract::Presently available noninvasive methods correctly localize epileptogenic regions in only approximately 50% of patients with frontal lobe epilepsy (FLE). Earlier studies have shown that temporal lobe epileptogenic regions may be identified readily by positron emission tomography (PET) measurements of regional benzodiaz...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01066.x

    authors: Savic I,Thorell JO,Roland P

    更新日期:1995-12-01 00:00:00

  • Sodium valproate, platelet dysfunction, and bleeding.

    abstract::The antiepileptic drug sodium valproate (VPA) can provoke a thrombocytopenia or platelet dysfunction, with or without hemorrhages. These unwanted side effects are probably infrequent or, at least, have little clinical importance except in patients undergoing surgery. Thromboelastography appears to be a reliable screen...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1981.tb04094.x

    authors: Loiseau P

    更新日期:1981-04-01 00:00:00

  • The ketogenic diet in a pill: is this possible?

    abstract::Over the past decade, much progress has been made in understanding the mechanisms of ketogenic diet (KD) action. From the complex systemic and metabolic changes induced by the KD have emerged innovative hypotheses attempting to link biochemical adaptations to its clinical effects. Despite such developments, the fundam...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2008.01857.x

    authors: Rho JM,Sankar R

    更新日期:2008-11-01 00:00:00

  • Interictal EEG and the diagnosis of epilepsy.

    abstract::The interictal EEG provides information that aids in diagnosis and management of epilepsy. One must remember that the EEG is merely a tool, and its usefulness depends largely upon the skill of the individual who wields it. Like all diagnostic tests, it has significant limitations and cannot substitute for a careful hi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2006.00654.x

    authors: Pillai J,Sperling MR

    更新日期:2006-01-01 00:00:00

  • Elevated cerebrospinal fluid protein in POLG-related epilepsy: Diagnostic and prognostic implications.

    abstract:OBJECTIVE:Epilepsy is common in individuals with mutations in POLG, the gene encoding the catalytic subunit of the mitochondrial DNA polymerase gamma. Early recognition and aggressive seizure management are crucial for patient survival. Disruption of the blood-brain barrier (BBB) is implicated in various neurological d...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.14459

    authors: Hikmat O,Naess K,Engvall M,Klingenberg C,Rasmussen M,Tallaksen CME,Brodtkorb E,Fiskerstrand T,Isohanni P,Uusimaa J,Darin N,Rahman S,Bindoff LA

    更新日期:2018-08-01 00:00:00

  • Epilepsy care: image of the future.

    abstract::A number of factors have contributed to improvements in the care of epilepsy during the past decade, including the International League Against Epilepsy classifications, therapeutic antiepileptic drug (AED) monitoring and the concept of monotherapy, new AEDs with novel mechanisms of action, and new insights into etiol...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb06012.x

    authors: Gram L

    更新日期:1995-01-01 00:00:00

  • Reliability and validity of a Norwegian version of the quality of life in epilepsy inventory (QOLIE-89).

    abstract:PURPOSE:To develop a Norwegian version of the Quality of Life in Epilepsy Inventory (QOLIE-89) and to confirm its psychometric properties. METHODS:The QOLIE-89 was adapted to Norwegian language through a translation-backtranslation procedure. The assessment included 397 patients with epilepsy. We assessed internal con...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb01511.x

    authors: Stavem K,Bjørnaes H,Lossius MI

    更新日期:2000-01-01 00:00:00