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August 06, 2019; 93 (6) Disputes & Debates: Editors' Choice

Reader response: Neurologic outcome of postanoxic refractory status epilepticus after aggressive treatment

Nitin K. Sethi
First published August 5, 2019, DOI: https://doi.org/10.1212/WNL.0000000000007906
Nitin K. Sethi
(New York)
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Reader response: Neurologic outcome of postanoxic refractory status epilepticus after aggressive treatment
Nitin K. Sethi
Neurology Aug 2019, 93 (6) 277-278; DOI: 10.1212/WNL.0000000000007906

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I read with interest the article by Beretta et al.1 that looked at neurologic outcome of patients with postanoxic refractory status epilepticus after aggressive treatment. It is evident that continuous EEG (cEEG) monitoring plays a valuable prognostication role in these patients when used in combination with other modalities such as N20 somatosensory evoked potentials, neuron-specific enolase, and neuroimaging. My personal experience with cEEG monitoring of these patients is that patients, right at the onset of cEEG monitoring, can be broadly divided into those who show either a benign (reactive continuous background) or unfavorable (refractory status epilepticus, generalized periodic discharges, and nonreactive diffusely suppressed background) EEG pattern.

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