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.
Elmer, J., Sandroni, C., A nuanced view of post-anoxic myoclonus, <<RESUSCITATION>>, 2017; 115 (6): A4-A5. [doi:10.1016/j.resuscitation.2017.04.013] [http://hdl.handle.net/10807/112101]
A nuanced view of post-anoxic myoclonus
Sandroni, ClaudioUltimo
Conceptualization
2017
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.