A nuanced view of post-anoxic myoclonus

Claudio Sandroni, Jonathan Elmer

Risultato della ricerca: Contributo in rivistaArticolo in rivista

1 Citazioni (Scopus)

Abstract

Myoclonus after resuscitation from cardiac arrest is widelyviewed as an ominous finding. Based on this and several similar reports, the2006 guidelines from the American Academy of Neurology rec-ommended that the finding of early post-anoxic myoclonus wassufficient in isolation to accurately predict poor outcome andinform withdrawal of life-sustaining therapy. Subsequent evidence-based guidelineshave tempered this strong recommendation, making clear thatthe presence of myoclonus after cardiac arrest does not precludefavorable outcome A nuanced and precise understanding of post-anoxic myoclonusmay be hampered by complex taxonomy and clinical heterogene-ity. Terms like “myoclonus,” “status myoclonus” and “myoclonicstatus epilepticus” are used interchangeably in the literaturewithout consistent definitions. Early post-anoxic myoclonus should prompt EEG monitoring, not limitationor withdrawal of life-sustaining therapy.
Lingua originaleEnglish
pagine (da-a)A4-A5
RivistaResuscitation
Volume115
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Cardiology and Cardiovascular Medicine
  • Emergency Medicine
  • Emergency Nursing

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