Cargando…
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...
Autores principales: | , , , , , |
---|---|
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 |
_version_ | 1783474900678213632 |
---|---|
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. |
format | Online Article Text |
id | pubmed-6886626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SMC Media Srl |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT emidioanacatarina spindlecomaintheintensivecareunitdifferentaetiologiesdifferentoutcomes AT fariarita spindlecomaintheintensivecareunitdifferentaetiologiesdifferentoutcomes AT patriciopatricia spindlecomaintheintensivecareunitdifferentaetiologiesdifferentoutcomes AT canasnuno spindlecomaintheintensivecareunitdifferentaetiologiesdifferentoutcomes AT messiasantonio spindlecomaintheintensivecareunitdifferentaetiologiesdifferentoutcomes AT menesesoliveiracarlos spindlecomaintheintensivecareunitdifferentaetiologiesdifferentoutcomes |