• Neurophysiol Clin · Feb 2017

    Case Reports

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

    • Thomas Ritzenthaler, Chloé Laurencin, Nathalie André Obadia, Carole Bodonian, and Frédéric Dailler.
    • Service de réanimation neurologique, hôpital neurologique, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron cedex, France; Université de Lyon CREATIS, CNRS UMR5220, Inserm U1044, INSA-Lyon, université Lyon-I, hospices civils de Lyon, 69677 Bron cedex, France. Electronic address: thomas.ritzenthaler@chu-lyon.fr.
    • Neurophysiol Clin. 2017 Feb 1; 47 (1): 13-18.

    AbstractTreatment 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.Copyright © 2016 Elsevier Masson SAS. All rights reserved.

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