title: Non-convulsive status epilepticus in a patient with carbon-monoxide poisoning treated with hyperbaric oxygen therapy.
abstract: The presentation of carbon monoxide poisoning is non-specific and highly variable. Hyperbaric oxygen therapy is used for the treatment of this condition. Various reports show the occurrence of self-limiting seizures after carbon monoxide poisoning and as a consequence of hyperbaric oxygen therapy. Contrary to the seizures, status epilepticus has been rarely observed in these conditions. The exact pathophysiology underlying seizures and status epilepticus associated with carbon monoxide poisoning and hyperbaric oxygen therapy is not really clear, and some elements appear to be common to both conditions. We describe a case of non-convulsive status epilepticus in a patient with carbon monoxide poisoning treated with hyperbaric oxygen therapy. The mechanism, MRI findings and implications are discussed.
authors.affiliation: Neuroradiology COU, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Marziali
authors.affiliation: Neuroradiology COU, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy francescadigiuliano@msn.com.
authors.forename: Francesca
authors.initials: F
authors.lastname: Di Giuliano
authors.affiliation: Neuroradiology COU, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
authors.forename: Eliseo
authors.initials: E
authors.lastname: Picchi
authors.affiliation: Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Natoli
authors.affiliation: Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Leonardis
authors.affiliation: Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Leonardis
authors.affiliation: Neuroradiology COU, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Garaci
authors.affiliation: Neuroradiology COU, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Floris
mesh_terms: D002249:Carbon Monoxide Poisoning / Q000150:complications* / Q000628:therapy*; D004569:Electroencephalography; D005260:Female; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods*; D008279:Magnetic Resonance Imaging; D013226:Status Epilepticus / Q000000981:diagnostic imaging / Q000209:etiology*
keywords: Carbon monoxide poisoning; MRI; hyperbaric oxygen therapy; seizures; status epilepticus