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Case Reports in Neurological Medicine
Volume 2013, Article ID 872127, 5 pages
http://dx.doi.org/10.1155/2013/872127
Case Report

Good Functional Outcome after Prolonged Postanoxic Comatose Myoclonic Status Epilepticus in a Patient Who Had Undergone Bone Marrow Transplantation

1Centro di Fisiopatologia del Sonno, DINOGMI, Università di Genova, Largo Rosanna Benzi, 10 16132 Genova, Italy
2U.O. Anestesia e Rianimazione, DIPEA, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Largo Rosanna Benzi, 10 16132 Genova, Italy
3U.O. Neurofisiopatologia, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Largo Rosanna Benzi, 10 16132 Genova, Italy

Received 16 September 2013; Accepted 22 October 2013

Academic Editors: I. L. Simone and M. Swash

Copyright © 2013 Jennifer Accardo et al. 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.

Abstract

In anoxic coma, myoclonic status epilepticus and other nonreactive epileptiform patterns are considered as signs of poor prognosis. We report the case of a good recovery in a prolonged comatose myoclonic status epilepticus (MSE) after a cardiac arrest (CA) treated with mild therapeutic hypothermia (TH) in a patient who had undergone a bone marrow transplantation for Hodgkin’s lymphoma. This case emphasizes the opportunity of performing an electroencephalogram (EEG) in the acute period after an hypoxic-ischemic insult and underlines the diagnostic difficulties between MSE and Lance-Adams syndrome, which classically occurs after the patient has regained consciousness, but can also begin while the patient is still comatose or sedated. Major problems in prognostication for postarrest comatose patients will also be pointed out.