Department of Clinical Neurophysiology, Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain.
Seizure. 2012 Jan;21(1):61-4. doi: 10.1016/j.seizure.2011.09.001. Epub 2011 Sep 23.
We report the case of a patient with an extensive right cerebral hematoma complicated by focal nonconvulsive status epilepticus (NCSE) in whom the use of the new bilateral BIS-Vista™ monitor was helpful in managing profound sedation and antiepileptic treatment in the absence of continuous EEG monitoring (CEEG). The analysis of color density spectral array (CDSA) showed stereotyped changes indicative of recurrent focal nonconvulsive seizures (NCSz) and NCSE. We noted a close correlation between NCSz and BIS value changes. EEGs during working hours always confirmed the persistence of focal NCSE. After several days of sedation, CDSA disclosed a gradual resolution of NCSE that was also confirmed by electroencephalography. The patient died of cardiorespiratory complications a few days later.
我们报告了一例广泛的右侧大脑血肿合并局灶性非惊厥性癫痫持续状态（NCSE）的患者，在没有连续脑电图监测（CEEG）的情况下，新的双侧 BIS-Vista™ 监测器有助于管理深度镇静和抗癫痫治疗。彩色密度谱阵列（CDSA）分析显示，具有刻板变化的局灶性非惊厥性发作（NCSz）和 NCSE 的特征。我们注意到 NCSz 与 BIS 值变化之间存在密切相关性。工作时间的 EEG 始终证实局灶性 NCSE 的持续存在。镇静几天后，CDSA 显示 NCSE 逐渐缓解，脑电图也证实了这一点。几天后，患者死于心肺并发症。
