A Case of Ictal Burst-suppression
Overview
Affiliations
"Burst-suppression" pattern consists of complete attenuation of background between bursts of mixed frequencies, variable morphology and waveforms. It is a subgroup of periodic patterns seen in severe cerebral damage, anesthesia or prematurity. Here, we present a 46-year-old woman with post-anoxic encephalopathy on cooling protocol with two electrographically similar patterns of burst-suppression (one with a clinical ictal correlate of isolated eye movements), as well as three electroclinical seizures. The literature on rare clinical phenomenon of isolated eye movements associated with burst-suppression is reviewed, with the conclusion that the presented case suggests an ictal origin.
Characterization of Postanoxic Tonic Eyelid Opening: A Poorly Recognized Prognostic Sign.
Alsallom F, Shaker H, Newey C, Hantus S, Punia V Neurol Clin Pract. 2021; 11(4):e422-e429.
PMID: 34484940 PMC: 8382422. DOI: 10.1212/CPJ.0000000000000990.