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. Author manuscript; available in PMC: 2017 Aug 3.
Published in final edited form as: Epilepsia. 2016 May 25;57(7):1161–1168. doi: 10.1111/epi.13419

Table 2.

Progression of clinical and electrophysiological events in Case 2.

Time EEG (intracranial) EKG Respiration Clinical (out of camera range; audio only)
Event 1
9.32.04 Baseline 132bpm N/A No complaints, asks to go to the bathroom; Registered Nurse (RN) observes patient sit on toilet (for safety)
19:44:36 Abrupt theta-delta, progressed to diffuse delta 120bpm, later obscured by artifact N/A Patient heard falling in bathroom at 19:44:50. RN assumes seizure
19:44:50 Suppression 84bpm N/A Unresponsive
19:45:05 Diffuse delta-theta, with intermittent generalized suppression, then diffuse theta 84bpm N/A Patient initially unable to follow commands, moving, some verbalization
19.45.52 Diffuse theta 84bpm Deep breathing at 42 brpm heard briefly Following commands
19:49:10 Return to baseline Heart rate 144 BPM N/A Asks to lie down; asks for water; complains of left leg numbness. Noted to be cold and clammy. Denied shortness of breath or headache.
Event 2
20:00:17 – 20:02:00 Baseline 144bpm N/A Patient feels cold to touch; reliable BP unobtainable. Patient states he feels “a little light and hot”
20:02:16 Baseline 144bpm N/A Patient feels “clammy and wet”; RN asks patient to stay still. Conversing.
20:02:47 – 20:03:00 Transition to diffuse theta slowing 132bpm 42brpm RN trying to help patient sit up
20:03:33 – 20:03:56 Diffusely slow (theta/delta) – progresses to diffuse delta 102bpm 42brpm, moaning RN encourages patient to get up from floor with assistance. Patient feels hot, drinks water.
20:03:57 Marked generalized EEG suppression 60bpm, then progressive bradycardia and idioventricular rhythm N/A Unresponsive; RN assumes seizure
20:08:37 Marked generalized EEG suppression Intermittent ventricular complexes 2brpm
Face briefly seen on video
Unresponsive. RN assessing patient, weak pulse noted. RN administers O2 via mask/manual ventilation (video/audio available at this point)
20:09:00 – 20:13:00 No data No data No data Cardiopulmonary resuscitation (CPR) begun at the end of this this period