Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report

BACKGROUND: Continuous electroencephalogram (EEG) monitoring is useful for assessing the level of sedation and detecting non-convulsive epileptic seizures and cerebral ischemia in the intensive care unit. This report describes a case of cerebral hemorrhagic infarction diagnosed after the detection o...

Descripción completa

Detalles Bibliográficos
Autores principales: Mihara, Keisuke, Nakahara, Haruna, Iwashita, Kouhei, Shigematsu, Kenji, Yamaura, Ken, Akiyoshi, Kozaburo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528938/
https://www.ncbi.nlm.nih.gov/pubmed/34674067
http://dx.doi.org/10.1186/s40981-021-00483-3
_version_ 1784586354846334976
author Mihara, Keisuke
Nakahara, Haruna
Iwashita, Kouhei
Shigematsu, Kenji
Yamaura, Ken
Akiyoshi, Kozaburo
author_facet Mihara, Keisuke
Nakahara, Haruna
Iwashita, Kouhei
Shigematsu, Kenji
Yamaura, Ken
Akiyoshi, Kozaburo
author_sort Mihara, Keisuke
collection PubMed
description BACKGROUND: Continuous electroencephalogram (EEG) monitoring is useful for assessing the level of sedation and detecting non-convulsive epileptic seizures and cerebral ischemia in the intensive care unit. This report describes a case of cerebral hemorrhagic infarction diagnosed after the detection of high-amplitude slow waves on processed EEG during sedation. CASE PRESENTATION: A 68-year-old man who underwent cardiac surgery was sedated in the intensive care unit following an invasive procedure. High-amplitude slow waves appeared on processed EEG monitoring before the detection of anisocoria. Computed tomography revealed a cerebral hemorrhagic infarction. CONCLUSIONS: In the management of critically ill patients, continuous EEG monitoring with forehead electrodes may be useful in the early detection of brain lesions.
format Online
Article
Text
id pubmed-8528938
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-85289382021-10-21 Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report Mihara, Keisuke Nakahara, Haruna Iwashita, Kouhei Shigematsu, Kenji Yamaura, Ken Akiyoshi, Kozaburo JA Clin Rep Case Report BACKGROUND: Continuous electroencephalogram (EEG) monitoring is useful for assessing the level of sedation and detecting non-convulsive epileptic seizures and cerebral ischemia in the intensive care unit. This report describes a case of cerebral hemorrhagic infarction diagnosed after the detection of high-amplitude slow waves on processed EEG during sedation. CASE PRESENTATION: A 68-year-old man who underwent cardiac surgery was sedated in the intensive care unit following an invasive procedure. High-amplitude slow waves appeared on processed EEG monitoring before the detection of anisocoria. Computed tomography revealed a cerebral hemorrhagic infarction. CONCLUSIONS: In the management of critically ill patients, continuous EEG monitoring with forehead electrodes may be useful in the early detection of brain lesions. Springer Berlin Heidelberg 2021-10-21 /pmc/articles/PMC8528938/ /pubmed/34674067 http://dx.doi.org/10.1186/s40981-021-00483-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Mihara, Keisuke
Nakahara, Haruna
Iwashita, Kouhei
Shigematsu, Kenji
Yamaura, Ken
Akiyoshi, Kozaburo
Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
title Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
title_full Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
title_fullStr Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
title_full_unstemmed Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
title_short Cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
title_sort cerebral hemorrhagic infarction was diagnosed subsequently after high-amplitude slow waves detected on processed electroencephalogram during sedation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528938/
https://www.ncbi.nlm.nih.gov/pubmed/34674067
http://dx.doi.org/10.1186/s40981-021-00483-3
work_keys_str_mv AT miharakeisuke cerebralhemorrhagicinfarctionwasdiagnosedsubsequentlyafterhighamplitudeslowwavesdetectedonprocessedelectroencephalogramduringsedationacasereport
AT nakaharaharuna cerebralhemorrhagicinfarctionwasdiagnosedsubsequentlyafterhighamplitudeslowwavesdetectedonprocessedelectroencephalogramduringsedationacasereport
AT iwashitakouhei cerebralhemorrhagicinfarctionwasdiagnosedsubsequentlyafterhighamplitudeslowwavesdetectedonprocessedelectroencephalogramduringsedationacasereport
AT shigematsukenji cerebralhemorrhagicinfarctionwasdiagnosedsubsequentlyafterhighamplitudeslowwavesdetectedonprocessedelectroencephalogramduringsedationacasereport
AT yamauraken cerebralhemorrhagicinfarctionwasdiagnosedsubsequentlyafterhighamplitudeslowwavesdetectedonprocessedelectroencephalogramduringsedationacasereport
AT akiyoshikozaburo cerebralhemorrhagicinfarctionwasdiagnosedsubsequentlyafterhighamplitudeslowwavesdetectedonprocessedelectroencephalogramduringsedationacasereport

Ejemplares similares