Table 1.
Clinical and EEG features of patients
Patients/sex/age | Reactivity | Outcomea | GPEDs frequency (Hz) | GPEDs Amplitude (uV) | |||
---|---|---|---|---|---|---|---|
Anti‐seizure manoeuver | EEG response | Clinical Response | |||||
Group 1 | |||||||
Patient 1 | 1 / F / 52 | None | N/A | N/A | 3 | 2.5–3.0 | −275.6 |
Patient 2 | 2 / M / 55 | DZP | GPEDs ceased; θ, α and β | Opened eyes to command | 2 | 2.5–3.0 | −187 |
Group 2 | |||||||
Patient 3 | 3 / M / 63 | LRZ | GPEDs ceased; δ, θ, α and β | No | 3 | 1.5–2 | −55.69 |
Patient 4 | 4 / M / 62 | CNZ | GPEDs ceased; δ and θ | No | 3 | 0.8–1.5 | −34.8 |
Patient 5 | 5 / M / 60 | Propofol window | GPEDs ceased; δ and θ, some α | No | 5 | 1 | −110.7 |
Patient 6 | 6 / M / 60 | None | N/Ab | No response | 3 | 1.2–2.0 | −83 |
Patient 7 | 7 / M / 71 | DZP | GPEDs ceased; δ and θ, some α | No | 3 | 1.2–1.8 | −130.6 |
Patient 8 | 8 / M / 70 | Propofol window | No physiological rhythms, but focal frontal seizure activity | No | 5 | 0.8–1.2 | −74.8 |
Group 3 | |||||||
Patient 9 | 8 / M / 58 | LRZ | No Effect | No response | 3 | 1.5–2.0 | −86.4 |
Patient 10 | 9 / M / 78 | LRZ | No Effect | No response | 5 | 0.7–1.5 | −242.5 |
Patient 11 | 10 / M / 36 | MDZ | N/A | No response | 5 | 1–1.5 | −174.3 |
Patient 12 | 11 / M / 33 | Propofol window | No Effect | No response | 5 | 1–1.5 | −221.5 |
Patient 13 | 13 / M / 81 | Propofol window | No Effect | No response | 5 | 1.6–1.8 | −62.7 |
DZP, diazepam; LRZ, lorazepam; CNZ, clonazepam; MDZ, midazolam; GPED, generalized periodic epileptiform discharges.
Glasgow‐Pittsburgh Cerebral Performance Categories.
Complete resolution of GPEDs with emergence of θ and α rhythms was recorded two days later after AED increased from LEV 500bd IV to LEV 1500bd and VPA 300bd, both IV.