On day 10, the patient was responding to painful stimuli with flexor motor response in his extremities and he was extubated on day 13. Temporal relationship between consciousness and EEG findings are demonstrated in. The GCS score was 5 and brainstem reflexes were present.
![burst suppression eeg burst suppression eeg](https://eegatlas-online.com/myapplications/images/eeg0091/eeg0091_refon.png)
In the third EEG recording on day 6, generalized slow wave activities were discerned a. BS-EEG continued in the second EEG recording, in the first 24 hours b. The BS pattern was diagnosed as previously described: "High-voltage bursts of slow waves with sharp or spiked transients occuring against a depressed background". Intravenous valproic acid (2 × 400 mg per/day) was used and myoclonic jerks ceased within 2 days. The burst suppression pattern (BS) was observed during the first 3 hours of EEG a. EEG electrodes were placed according to the International 10-20 system. The computed tomography (CT) showed diffuse cerebral edema. No sedatives or curare medications were used. Endotracheal intubation was performed and he was transferred to the intensive care unit. His arterial O 2 saturation was measured at 75%. Myoclonic jerks were observed while in the emergency unit. There was a hemorrhagic strangulation band around the patient's neck. In the emergency unit, the patient was admitted with a glasgow coma scale (GCS) score of 3, his brainstem reflexes were absent, and he exhibited contracted, non-reactive pupils. The duration of hanging was approximated at 15 minutes. The patient was discovered by his family in a potentially lethal suspension by ligature. We have documented our evaluation of a patient's cognitive recovery following BS-EEG after his attempted suicide via lethal suspension. It is rare to encounter case reports in medical literature about cognitive improvement in patients with BS-EEG.
![burst suppression eeg burst suppression eeg](http://eegatlas-online.com/myapplications/images/eeg0090/eeg0090_ipsiEaron.png)
Post-anoxic burst-suppression electroencephalography (BS-EEG) implies a poor prognosis. In post-anoxic states, various electroencephalography (EEG) changes are possible. Other cognitive deficits such as visuospatial impairment, expressive language deficits, behavior and personality changes are usually associated with memory disturbance. However, isolated memory disturbances can occur, though rarely, without other cognitive dysfunctions accompanying them. The primary findings are described as memory deficits and anterograde-retrograde amnesia. Several studies have been conducted citing the neuropsychological consequences regarding non-lethal hanging of adults. Hanging-induced burst suppression pattern in EEG.
#Burst suppression eeg how to#
How to cite this URL: Cinar N, Sahin S, Bozdemir M, Simsek S, Karsidag S.
![burst suppression eeg burst suppression eeg](http://eegatlas-online.com/myapplications/images/eeg0058/eeg0058on.png)
Keywords: Burst-suppression, cerebral anoxia, cognitive disorders, electroencephalography, hanging How to cite this article: Cinar N, Sahin S, Bozdemir M, Simsek S, Karsidag S. Although the BS-EEG pattern indicates severe brain dysfunction, it is a poor prognostic factor rarely, patients survive with minor cognitive deficits and can perform their normal daily activities. His neuropsychiatric assessment proved that memory deficit, a slight lack of attention and minor executive dysfunction was observed a month after the patient was discharged.
![burst suppression eeg burst suppression eeg](http://eegatlas-online.com/myapplications/images/eeg0090/eeg0090_db2.png)
The patient's state of consciousness was gradually improved over a period of time. Introduced here is the case of a 25-year-old man exemplifying the clinical observations stated hereafter, who was conveyed to our emergency room after having survived attempted suicide by hanging, with his post-anoxic burst-suppression electroencephalography (BS-EEG) pattern and clinical diagnoses in the post-comatose stage. Spinal fractures, cognitive and motor deficits as well as epileptic seizures can be detected after unsuccessful hanging attempts. Lethal suspension (hanging) is one of the most common methods of attempting suicide. Nilgun Cinar 1, Sevki Sahin 1, Meral Bozdemir 2, Selçuk Simsek 3, Sibel Karsidag 1ġ Department of Neurology, Faculty of Medicine, Maltepe University, Istanbul, Turkey 2 Department of Psychology, Faculty of Medicine, Maltepe University, Istanbul, Turkey 3 Department of Anesthesia and Intensive Care Unit, Faculty of Medicine, Maltepe University, Istanbul, TurkeyĬlick here for correspondence address and email Date of Submission Hanging-induced burst suppression pattern in EEG