Abstract
Encephalopathy is a frequent neurological manifestation in ICU patients with COVID-19. It is important to make an accurate differential diagnosis with non-convulsive epileptic status, in order to optimize the management and prognosis. The use of Video-EEG monitoring assuring biosecurity standards, allows an adequate diagnosis of epileptic status, reducing the number of unnecessary admissions to the intensive care unit, sedation time and anesthetics use. The use of telemedicine in patients with epilepsy has proven to be a useful tool, compared to standard outpatient visits in terms of number of seizures, admissions, emergency visits, or adherence to the medication.
References
Carod-Artal J. Complicaciones neurológicas por coronavirus y COVID-19. Rev Neurol. 2020; 70:311-322.
Vollono C, Rollo E, et al. Focal status epilepticus as unique clinical feature of COVID-19: a case report. Seizure. 2020; 78:109-12.
Kinney MO, Brigo F. Optimizing status Epilepticus care during the COVID-19 pandemic. Epilepsy Behav. 2020; 109(107124)
Liverpool Drug Interactions Group. University of Liverpool. Pharmacology Research Labs COVID-19 Drug Interactions with Experimental COVID-19 Therapies. [Internet]. Marzo de 2020 [citado 25 de mayo de 2020]. Disponible en: Disponible en: https://wwwcovid19-druginteractions.org/
Ramos-Argüelles F. Técnicas básicas de electroencefalografía: principios y aplicaciones clínicas. An Sist Sanit Navar. 2009; 32:69-82.
Ríos L, Alvarez C. Aporte de los distintos métodos electroence-falográficos (EEG) al diagnóstico de las epilepsias. Rev Médica Clínica Las Condes. 2013;24(6):953-7.
Bjork M, Sand T. Quantitative EEG power and asymmetry increase 36 h before a migraine attack. Cephalalgia. 2008; 28(9)960-8.
Finnigan SP, Rose SE. Contralateral hemisphere delta EEG in acute stroke precedes worsening of symptoms and death. Clin Neurophysiol. 2008;119(7):1690-4.
De Vos C, van Maarseveen S. Continuous EEG monitoring during thrombolysis in acute hemispheric stroke patients using the brain symmetry index. J Clin Neurophysiol. 2008; 25(2):77-82.
Amodio P, Campagna F, et al. Detection of minimal hepatic encephalopathy: Normalization and optimization of the psychometric hepatic encephalopathy score. A neuropsychological and quantified EEG study. J Hepatol. 2008; 49(3):346-53.
Niedermeyer E. The clinical relevance of EEG Interpretation. Clin Electroencephalogr. 2003;34(3):93-8.
Asadi-Pooya AA, Simani L. Central nervous system manifestations of COVID-19: A systematic review. J Neurol Sci. 2020; 413(116832).
Ministerio de Salud y Protección Social. Limpieza y Desinfección en Servicios de Salud ante la introducción del nuevo coronavirus (SARS-CoV-2) a Colombia. [Internet]. 2020 [citado 12 de abril de 2020]. Disponible en: Disponible en: https://www.minsalud.gov.co/Ministerio/Institucional/Procesos%20y%20proced-imientos/GIPS07.pdf
COVID-19 Resources | American Clinical Neurophysiology Society. [Internet]. 2020 [citado 12 de abril de 2020]. Disponible en: Disponible en: https://www.acns.org/practice/covid-19-resources
Telemedicine-for-Epilepsy-Care-in-the-COVID-19-Era [Internet]. 2020 [citado 20 de mayo de 2020]. Disponible en: Disponible en: https://www.ilae.org/files/dmfile/Telemedicine-for-Epilepsy-Care-in-the-COVID-19-Era.pdf
EpiCARE. COVID-19 y epilepsia. Recomendaciones ERN EpiCare [Internet]. 2020 [citado 20 de mayo de 2020]. Disponible en: Disponible en: https://epi-care.eu/wp-content/uploads/2020/04/COVID-19-and-Epilepsy_ERN-Epi-CARE_Recommendations-SPANISH.pdf
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