A case of ictal burst-suppression

Publication date: Available online 26 November 2018Source: Epilepsy & Behavior Case ReportsAuthor(s): Pegah Afra, Verena Clarissa Samara, Lilly Fagatele, Bola AdamolekunAbstract“Burst-suppression” pattern consists of complete attenuation of background between bursts of mixed frequencies, variable morphology and waveforms. It is a subgroup of periodic patterns seen in severe cerebral damage, anesthesia or prematurity. Here, we present a 46 year-old-woman with post-anoxic encephalopathy on cooling protocol with two electrographically similar patterns of burst-suppression (one with clinical ictal correlate of isolated eye movements), as well as three electro-clinical seizures. The literature on rare clinical phenomenon of isolated eye movements associated with burst-suppression is reviewed, with conclusion that the presented case is highly suggestive of ictal nature.
Source: Epilepsy and Behavior Case Reports - Category: Neurology Source Type: research