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Ive recently had some experience with trialling a 6 lead EEG as a module for one of our monitoring systems. What has surprised me the most has been the 2 cases in whom the fitting had stopped and they were deemed to be post-ictal by our assessment - EEG showed continuing seizure activity which persisted for prolonged periods - arrested in one case by further midazolam and the other by phenytoin loading. Id be interested in anyone elses experiences with this sort of clinical dissociation - Ive come accross it before in patients with persisting reduced GCS post seizure but these were all 30-60 minutes down the track - but it was startling to see it in the early " post-ictal " phase. Craig >From: Danny McGeehan <[log in to unmask]> >Reply-To: The list will be of relevance to all trainees including > undergraduates and <[log in to unmask]> >To: [log in to unmask] >Subject: Re: refractory seizures >Date: Sun, 11 Mar 2001 00:55:59 -0000 > >I use heminevrin or chlormethazole. I titre the dose and find it very >quick >and safe. I give IV bolus and then start and infusion. >Danny McGeehan > _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.