scholarly journals Early Diagnosis of Nonconvulsive Status Epilepticus Recurrence with Raw EEG of a Bispectral Index Monitor

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Aristide Ntahe
Keyword(s):  
Early Diagnosis ◽  
Real Time ◽  
Bispectral Index ◽  
Brain Injuries ◽  
Case Presentation ◽  
The Third ◽  
Typical Aspect ◽  
Bis Monitor ◽  
Hypnotic Drugs ◽  
Bispectral Index Monitor

Background. Seizures are frequent in ICU and their diagnosis is challenging, often delayed or missed. Their diagnosis requires a conventional EEG recording. When cEEG is not available, there is no consensus on how patients should be monitored when there is high risk of seizure. This case illustrates how a bispectral index monitor allowed an early diagnosis of an NCSE recurrence. Case Presentation. A NCSE was diagnosed at the admission. cEEG was not available and then a bispectral index (BIS) monitor was placed and processed parameters were monitored as usual. During the first and second day, both conventional and BIS’s EEG showed patterns of burst suppression and the BIS value varied between 25 and 35 while the suppression ratio (SR) varied between 20 and 35. On the third day, while hypnotic drugs were withdrawn progressively, raw EEG of the BIS monitor showed spikes, spikes waves, and polyspikes without significant variation of BIS and SR values. Even if processed parameters stayed between their usual ranges, the typical aspect of the real time EEG raised concern for NCSE recurrence. An unplanned conventional EEG recording was urgently requested, and the diagnosis was confirmed and treated. Conclusion. Primitive and secondary brain injuries can lead to seizures which are often purely electrical. Even though BIS monitors cannot substitute the conventional EEG, processed parameters and raw EEG should be always analysed jointly. In the present case, seizure was suspected only on the aspect of real time EEG which showed spikes, spikes waves, and polyspikes.

scholarly journals Contact dermatitis associated with the Bispectral index™ sensor: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Noriko Taguchi ◽  
Shijima Taguchi ◽  
Syoichiro Ishizuki ◽  
Hiroyuki Ito
Keyword(s):  
Case Report ◽  
Contact Dermatitis ◽  
General Anesthesia ◽  
Patch Testing ◽  
Bispectral Index ◽  
Tooth Extraction ◽  
Case Presentation ◽  
Bis Monitor

Abstract Background Contact dermatitis caused by electroencephalography electrodes is rare and insufficiently studied. We described a case of contact dermatitis caused by Bispectral Index (BIS) monitor electrodes. Case presentation A 38-year-old woman underwent tooth extraction under general anesthesia with BIS monitoring. She noticed erythema on her forehead 3 days after surgery, which peaked on the fifth postoperative day. Slight pigmentation was observed at 42 days after surgery. We performed patch testing and confirmed positive reactions to the sensor and some allergens. Conclusions Many reports have attributed contact dermatitis to an allergen present in electrocardiogram electrodes. It is important to recognize that complications similar to those caused by electrocardiogram electrodes can occur with this sensor.

scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

scholarly journals Prospective multicenter evaluation of real time PCR Kit prototype for early diagnosis of congenital Chagas disease

EBioMedicine ◽  
2021 ◽  
Vol 69 ◽  
pp. 103450
Author(s):  
Alejandro Francisco Benatar ◽  
Emmaría Danesi ◽  
Susana Alicia Besuschio ◽  
Santiago Bortolotti ◽  
María Luisa Cafferata ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Real Time ◽  
Chagas Disease ◽  
Real Time Pcr

Application of real-time PCR for early diagnosis of diseases caused by Aeromonas salmonicida, Vibrio anguillarum, and Tenacibaculum maritimum in turbot: A field study

2017 ◽  
Vol 30 (1) ◽  
pp. 76-89 ◽  
Author(s):  
María-José Chapela ◽  
Martiña Ferreira ◽  
Asela Ruiz-Cruz ◽  
Iris Martin-Varela ◽  
Jacobo Fernández-Casal ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Field Study ◽  
Real Time ◽  
Real Time Pcr ◽  
Vibrio Anguillarum ◽  
Aeromonas Salmonicida ◽  
Diagnosis Of Diseases

The Third Generation of Real-Time Virtual Sonography for Navigation in the Treatment of Hepatocellular Carcinoma

2011 ◽  
Vol 37 (8) ◽  
pp. S136
Author(s):  
Y. Eso ◽  
A. Sakamoto ◽  
S.G. Kim ◽  
S. Saito ◽  
H. Nishikawa ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Real Time ◽  
Third Generation ◽  
The Third

LTR real-time PCR for HIV-1 DNA quantitation in blood cells for early diagnosis in infants born to seropositive mothers treated in HAART area (ANRS CO 01)

2009 ◽  
Vol 81 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Avettand-Fènoël Véronique ◽  
Chaix Marie-Laure ◽  
Blanche Stéphane ◽  
Burgard Marianne ◽  
Floch Corinne ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Real Time ◽  
Real Time Pcr ◽  
Blood Cells ◽  
Dna Quantitation ◽  
Hiv 1

Designing the landscape for technological development in neonatal neurocritical care

2018 ◽  
Vol 4 (4) ◽  
pp. 163-171
Author(s):  
Colin Hamilton ◽  
Robert Phaal ◽  
Mita Brahmbhatt ◽  
Peter Jarritt ◽  
Topun Austin
Keyword(s):  
Real Time ◽  
Neurocritical Care ◽  
Brain Injuries ◽  
Unmet Needs ◽  
Technology Development ◽  
Clinical Skills ◽  
Technological Development ◽  
Newborn Infants ◽  
Patient Pathway ◽  
The Impact

ObjectivesTo identify current ‘gaps’ in clinical practice or therapeutic knowledge of the care of neonatal neurointensive care patients and to determine the impact healthcare technologies can have on improving outcomes.DesignThe Cambridge Institute for Manufacturing’s (IfM) roadmapping methodology.SettingCambridge, UK.Participants16 delegates were selected through professional networks. They provided coverage of academia and clinical skills, as well as expertise in neonatology, engineering and technology development.Main outcome measuresA ‘strategic landscape’ has been developed with ‘landmarks’ identified as ‘trends or drivers’, ‘patient pathway experience and unmet needs’ and ‘enabling project or resources’. Priorities were voted on by delegates.Results26 strategic ‘landmarks’ were identified, and of these 8 were considered ‘trends or drivers’, 8 ‘patient pathway experience and unmet needs’ and 10 as ‘enabling project or resources’. Of these, five priorities for the future of neonatal neurocritical care were identified by a voting process: real-time video monitoring for parents; individualised management of preterm infants in neonatal neurocritical care based on real-time multimodal monitoring; continuous electroencephalogram monitoring for early seizure diagnosis; neuroprotection: understanding basic mechanisms; and sleep measurement.ConclusionsThrough the use of the IfM methodology, a list of priorities has been developed for future work into improving the experience and possible outcomes of newborn infants with brain injuries and their families. While not an exhaustive list, it provides the beginning for a national conversation on the topic.

scholarly journals Experimental Ehrlichia canis infection changes acute-phase proteins

2012 ◽  
Vol 21 (3) ◽  
pp. 206-212 ◽  
Author(s):  
Thiago Demarchi Munhoz ◽  
Joice Lara Maia Faria ◽  
Giovanni Vargas-Hérnandez ◽  
José Jurandir Fagliari ◽  
Áureo Evangelista Santana ◽  
...  
Keyword(s):  
Early Detection ◽  
Early Diagnosis ◽  
Acute Phase ◽  
Acute Phase Proteins ◽  
Ehrlichia Canis ◽  
Laboratory Findings ◽  
Early Detection Of Disease ◽  
Acid Glycoprotein ◽  
The Third ◽  
Canine Ehrlichiosis

Early diagnosis of canine ehrlichiosis favors prompt institution of treatment and improves the prognosis for the animal, since this disease causes mortality among dogs. Studies have shown that determining the concentration of acute-phase proteins (APPs) may contribute towards early detection of disease and aid in predicting the prognosis. This study aimed to evaluate the APP profile in dogs experimentally infected with Ehrlichia canis, at the start of the infection and after treatment. It also investigated whether any correlation between APP levels and the clinical and laboratory alterations over the course of the disease would be possible. The results obtained showed abnormal levels of all the APPs on the third day after infection (D3), with the highest levels being reached on D18, with the exception of ceruloplasmin and acid glycoprotein, which presented their peaks on D6 and D12 respectively. We concluded that assessment of APP levels could contribute towards establishing an early diagnosis of canine ehrlichiosis, particularly regarding acid glycoprotein and ceruloplasmin, since these proteins were detected at increased levels even before the onset of clinical and laboratory findings of the disease.

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