No to hattatsu. Brain and development
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We report a patient with acute encephalitis with refractory, repetitive partial seizures requiring a high concentration of isoflurane to suppress the seizures and showing rare abnormal findings in the bilateral thalamus on MRI during the convalescent period. A five-year-old boy was admitted to our hospital because of fever and convulsions. Shortly after admission, convulsions became frequent and disturbance of consciousness became apparent. ⋯ Neurological sequelae were very severe and there are no anticonvulsants that have effectively suppressed the convulsions to date. MRI during the convalescent period showed high-intensity signal changes on fluid-attenuated inversion recovery, diffusion-weighted image and T2-weighted image in the bilateral thalamus. But it is uncertain whether these changes were the cause of this disorder.
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This study sought to determine the effectiveness of continuous electroencephalogram (cEEG) monitoring for predicting neurological outcome among children with status epilepticus or altered consciousness in a pediatric intensive care unit (PICU). We detected nonconvulsive seizures and evaluated the relationship between electroencephalogram features and neurological outcome. ⋯ Among patients who did not show low voltage readings, those who exhibited nonconvulsive seizures were more likely to have poor neurological outcome than those who did not. In a PICU, cEEG monitoring can help to predict neurological outcome in the early stage of treatment for children with status epilepticus or altered consciousness.