OUTCOME FROM COMA AFTER CARDIOPULMONARY RESUSCITATION - RELATION TO SEIZURES AND MYOCLONUS
OUTCOME FROM COMA AFTER CARDIOPULMONARY RESUSCITATION - RELATION TO SEIZURES AND MYOCLONUS
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DOI：
10.1212/wnl.38.3.401
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发表时间：
1988-03-01
期刊：
影响因子：
9.9
通讯作者：
WEISS, HD
中科院分区：
文献类型：
--
作者：
KRUMHOLZ, A;STERN, BJ;WEISS, HD
我们研究了心肺复苏（CPR）后癫痫发作和肌阵挛对所有昏迷的成年心肺复苏幸存者8年预后的影响。114例患者中有50例（44%）发生癫痫发作或肌阵挛：41例患者（36%）发生癫痫发作，40例患者（35%）发生肌阵挛。36例患者（32%）发生癫痫持续状态或肌阵挛持续状态，19例（17%）发生肌阵挛性癫痫持续状态（MSE）。癫痫发作和肌阵挛本身与预后无显著相关性，但癫痫持续状态、肌阵挛持续状态，特别是MSE可预测预后不良，这是通过生存率和意识恢复来判断的。
We studied the effect of seizures and myoclonus following cardiopulmonary resuscitation (CPR) on the outcome of all comatose adult survivors of CPR over an 8-year period. Either seizures or myoclonus occurred in 50 of 114 patients (44%): seizures in 41 patients (36%) and myoclonus in 40 (35%). Status epilepticus or status myoclonus occurred in 36 patients (32%), and 19 (17%) had myoclonic status epilepticus (MSE). Seizures and myoclonus per se were not significantly related to outcome, but status epilepticus, status myoclonus, and, particularly, MSE were predictive of poor outcome as judged by survival and recovery of consciousness.