Revue d'électroencéphalographie et de neurophysiologie clinique
-
Rev Electroencephalogr Neurophysiol Clin · Apr 1985
[Value of cassette-recorded long-term 8-channel EEG monitoring in status epilepticus--technical note].
Prolonged EEG-taped recording is a significant recent improvement in technique, with the 8 channels providing the possibility of exploration of the whole scalp. First used for ambulatory monitoring, it was also tested in comatose patients with status epilepticus. The advantages are: the the good quality of the EEGs even after recording continuously for many days, and without drawback for intensive nursing; the help in recognizing infraclinical seizures, often misunderstood by the nursing staff, and the control of treatment; the participation in prospective chronobiological studies.
-
Rev Electroencephalogr Neurophysiol Clin · Apr 1985
[Treatment of status epilepticus in the adult. Retrospective analysis of 192 cases treated in intensive care units].
The results of therapy have been analyzed in a series of 192 patients admitted for status epilepticus over 7 years in two intensive care units. Most (142 cases without any prior epilepsy) corresponded to secondary forms. In 2/3 of the cases, the patients were admitted because of failure of benzodiazepines and/or phenobarbitone. ⋯ Chlormethiazole often succeeds in controlling convulsive status which has proved refractory to other treatment. Supportive management is mandatory: 52% of patients required respiratory assistance. Fatalities (36%) exclusively correspond to the underlying cerebral conditions and systemic disorders.