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Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes

Spindle coma is an electroclinical entity that has been used to describe an EEG pattern of “sleep-like” activity in comatose patients. Although it has been associated with favourable prognosis, its aetiology is one of the key factors for patient outcome. The authors present three cases of spindle co...

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Detalles Bibliográficos
Autores principales: Emidio, Ana Catarina, Faria, Rita, Patricio, Patricia, Canas, Nuno, Messias, António, Meneses-Oliveira, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SMC Media Srl 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886626/
https://www.ncbi.nlm.nih.gov/pubmed/31890714
http://dx.doi.org/10.12890/2019_001316
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author Emidio, Ana Catarina
Faria, Rita
Patricio, Patricia
Canas, Nuno
Messias, António
Meneses-Oliveira, Carlos
author_facet Emidio, Ana Catarina
Faria, Rita
Patricio, Patricia
Canas, Nuno
Messias, António
Meneses-Oliveira, Carlos
author_sort Emidio, Ana Catarina
collection PubMed
description Spindle coma is an electroclinical entity that has been used to describe an EEG pattern of “sleep-like” activity in comatose patients. Although it has been associated with favourable prognosis, its aetiology is one of the key factors for patient outcome. The authors present three cases of spindle coma with different aetiologies (amitriptyline overdose, pontine myelinolysis and hypoxic-ischaemic encephalopathy) that culminated in different outcomes. LEARNING POINTS: Spindle coma (SC) is an electroclinical “sleep-like” pattern that appears in comatose patients. It implies the functional preservation of the cerebral hemispheres which can be associated with a good prognosis. The aetiology of SC is a key factor for outcome.
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spelling pubmed-68866262019-12-30 Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes Emidio, Ana Catarina Faria, Rita Patricio, Patricia Canas, Nuno Messias, António Meneses-Oliveira, Carlos Eur J Case Rep Intern Med Articles Spindle coma is an electroclinical entity that has been used to describe an EEG pattern of “sleep-like” activity in comatose patients. Although it has been associated with favourable prognosis, its aetiology is one of the key factors for patient outcome. The authors present three cases of spindle coma with different aetiologies (amitriptyline overdose, pontine myelinolysis and hypoxic-ischaemic encephalopathy) that culminated in different outcomes. LEARNING POINTS: Spindle coma (SC) is an electroclinical “sleep-like” pattern that appears in comatose patients. It implies the functional preservation of the cerebral hemispheres which can be associated with a good prognosis. The aetiology of SC is a key factor for outcome. SMC Media Srl 2019-11-15 /pmc/articles/PMC6886626/ /pubmed/31890714 http://dx.doi.org/10.12890/2019_001316 Text en © EFIM 2019 This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Articles
Emidio, Ana Catarina
Faria, Rita
Patricio, Patricia
Canas, Nuno
Messias, António
Meneses-Oliveira, Carlos
Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes
title Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes
title_full Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes
title_fullStr Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes
title_full_unstemmed Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes
title_short Spindle Coma in the Intensive Care Unit: Different Aetiologies – Different Outcomes
title_sort spindle coma in the intensive care unit: different aetiologies – different outcomes
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886626/
https://www.ncbi.nlm.nih.gov/pubmed/31890714
http://dx.doi.org/10.12890/2019_001316
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