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Case Reports in Critical Care
Volume 2012, Article ID 760407, 3 pages
Case Report

Postanoxic Burst Suppression Electroencephalogram in a Comatose Child Associated with Spontaneous Eyelid Opening

The Department of Neurosciences and Pediatrics, Rady Children’s Hospital, University of California, San Diego, CA 92123, USA

Received 17 September 2012; Accepted 22 October 2012

Academic Editors: K. Chergui, K. Klouche, C. Lazzeri, A. J. Reddy, and M. Tidswell

Copyright © 2012 John R. Crawford. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spontaneous eye opening associated with burst suppression electroencephalogram has been reported in adults following postanoxic injury. Previous reports have correlated the onset of epileptiform bursts with the eye opening and attribute it to a brainstem-release phenomenon associated with poor prognosis. The author presents a case of a 12-year-old boy with burst suppression electroencephalogram following severe anoxic injury where the eye opening occurred at the conclusion of the bursts that has never been previously reported. These electroencephalographic findings are important for intensive care physicians to recognize and may provide further insight into the pathophysiological mechanism of this rare phenomenon.