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Article ; Online: Corrigendum to "Clinical utility of EEG in diagnosing and monitoring epilepsy in adults" [Clin. Neurophysiol. 129 (2018) 1056-1082].

Tatum, W O / Rubboli, G / Kaplan, P W / Mirsattari, S M / Radhakrishnan, K / Gloss, D / Caboclo, L O / Drislane, F W / Koutroumanidis, M / Schomer, D L / Kasteleijn-Nolst Trenite, D / Cook, Mark / Beniczky, S

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology

2022 Volume 141, Page(s) 160

Language	English
Publishing date	2022-06-30
Publishing country	Netherlands
Document type	Published Erratum
ZDB-ID	1463630-x
ISSN	1872-8952 ; 0921-884X ; 1388-2457
ISSN (online)	1872-8952
ISSN	0921-884X ; 1388-2457
DOI	10.1016/j.clinph.2022.06.002
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Article ; Online: Use of simulation in acute neurology training: Point and counterpoint.

Hocker, Sara / Wijdicks, Eelco F M / Feske, Steven K / Drislane, Frank W

Annals of neurology

2015 Volume 78, Issue 3, Page(s) 337–342

MeSH term(s)	Humans ; Internship and Residency/methods ; Neurology/education ; Neurology/methods ; Patient Simulation
Language	English
Publishing date	2015-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	80362-5
ISSN	1531-8249 ; 0364-5134
ISSN (online)	1531-8249
ISSN	0364-5134
DOI	10.1002/ana.24473
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Article: Presentation, evaluation, and treatment of nonconvulsive status epilepticus.

Drislane, F W

Epilepsy & behavior : E&B

2000 Volume 1, Issue 5, Page(s) 301–314

Abstract: Nonconvulsive status epilepticus (NCSE) is much more common than is generally appreciated. It is certainly underdiagnosed, but its presentation is protean. Diagnostic criteria and treatment are controversial. Absence status is characterized by confusion ... ...

Abstract	Nonconvulsive status epilepticus (NCSE) is much more common than is generally appreciated. It is certainly underdiagnosed, but its presentation is protean. Diagnostic criteria and treatment are controversial. Absence status is characterized by confusion or diminished responsiveness, with occasional blinking or twitching, lasting hours to days, with generalized spike and slow wave discharges on the EEG. Complex partial status consists of prolonged or repetitive complex partial seizures (with a presumed focal onset) and produces an "epileptic twilight state" with fluctuating lack of responsiveness or confusion. There is a clear overlapping of syndromes. Other confused, stuporous, or comatose patients with rapid, rhythmic, epileptiform discharges on the EEG may have "electrographic" status and should be considered in the same diagnostic category. NCSE typically occurs following supposedly controlled convulsions or other seizures, but with persistent neurologic dysfunction despite apparently adequate treatment. Confusion in the elderly or among emergency room patients is also a typical setting. The diagnosis of NCSE usually involves an abnormal mental status with diminished responsiveness, a supportive EEG, and often a response to anticonvulsant medication. All patients have clinical neurologic deficits, but the EEG findings and response to seizure medication are variable and are more controversial criteria. The response to drugs can be delayed for up to days. Experimental models and pathologic studies showing neuronal damage from status epilepticus pertain primarily to generalized convulsive status. Most morbidity from NCSE appears due to the underlying illness rather than to the NCSE itself. Some cases of prolonged NCSE or those with concomitant systemic illness, focal lesions, or very rapid epileptiform discharges may suffer more long-lasting damage. Although clinical studies show little evidence of permanent neurologic injury, the prolonged memory dysfunction in several cases and the similarities to convulsive status suggest that NCSE should be treated expeditiously. The diagnosis is important to make because NCSE impairs the patient's health significantly, and it is often a treatable and completely reversible condition.
Language	English
Publishing date	2000-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2010587-3
ISSN	1525-5069 ; 1525-5050
ISSN (online)	1525-5069
ISSN	1525-5050
DOI	10.1006/ebeh.2000.0100
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Article: Evidence against permanent neurologic damage from nonconvulsive status epilepticus.

Drislane, F W

Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society

1999 Volume 16, Issue 4, Page(s) 323–31; discussion 353

Abstract: Nonconvulsive status epilepticus (NCSE) is much more common than is generally appreciated and is certainly underdiagnosed, but its long-term effects are largely undetermined and remain controversial. There is increasing experimental evidence that ... ...

Abstract	Nonconvulsive status epilepticus (NCSE) is much more common than is generally appreciated and is certainly underdiagnosed, but its long-term effects are largely undetermined and remain controversial. There is increasing experimental evidence that generalized convulsive status epilepticus produces lasting neuropathologic damage in the hippocampus, but experimental models often include provocation of status epilepticus (SE) by physical (e.g., electrical stimulation) and chemical (including excitotoxic) agents that may induce damage independent of the epileptiform discharges. Also, damage appears to be related to the intensity and duration of electrical stimulation. Such models usually include high-frequency discharges sustained over long periods, somewhat different from the electrical activity of typical human NCSE. Pathologic studies in humans pertain primarily to patients who have had generalized convulsive status epilepticus. Clinical studies of the effects of NCSE are mandatory, but conclusions are difficult to come by, in part because of diverse definitions of NCSE. An altered mental status is obligatory, but the pertinent EEG and medication response criteria are controversial. Response to medication can be delayed by many hours or even days. Absence SE appears to cause no lasting effects. Complex partial SE is less uniform. Most reported cases have returned to baseline neurologic function, but several well-described patients have had prolonged memory deficits. The significance of other deficits is difficult to interpret in light of concomitant vascular and other diseases causing neurologic dysfunction. Clinical series usually lack premorbid neurologic and neuropsychologic assessment. The few exceptions are complicated by preexisting mental retardation and other deficits, by the coexistence of progressive illness, by the later effects of recurrent seizures, and almost always by the confounding influence of anticonvulsant medications. Most morbidity appears attributable to the underlying illnesses rather than to the NCSE itself. It is possible that relatively infrequent cases of prolonged NCSE or those with the synergistic effect of concomitant systemic illness, focal lesions, or very rapid excitatory epileptiform discharges may suffer more long-lasting damage, but these observations are still preliminary. NCSE should be treated expeditiously because of the acute neurologic impairment of the patients, because of the attendant morbidity including physical injury, and because it may go on to generalized convulsions. There is reasonable concern about possible long-term effects, but permanent neurologic damage from NCSE has not yet been established as a mandate for urgent treatment.
MeSH term(s)	Animals ; Electroencephalography ; Humans ; Morbidity ; Mortality ; Nervous System Diseases/etiology ; Nervous System Diseases/pathology ; Status Epilepticus/complications ; Status Epilepticus/epidemiology ; Status Epilepticus/pathology ; Status Epilepticus/physiopathology
Language	English
Publishing date	1999-07
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	605640-4
ISSN	1537-1603 ; 0736-0258
ISSN (online)	1537-1603
ISSN	0736-0258
DOI	10.1097/00004691-199907000-00004
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Article ; Online: Clinical utility of EEG in diagnosing and monitoring epilepsy in adults.

Tatum, W O / Rubboli, G / Kaplan, P W / Mirsatari, S M / Radhakrishnan, K / Gloss, D / Caboclo, L O / Drislane, F W / Koutroumanidis, M / Schomer, D L / Kasteleijn-Nolst Trenite, D / Cook, Mark / Beniczky, S

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology

2018 Volume 129, Issue 5, Page(s) 1056–1082

Abstract: Electroencephalography (EEG) remains an essential diagnostic tool for people with epilepsy (PWE). The International Federation of Clinical Neurophysiology produces new guidelines as an educational service for clinicians to address gaps in knowledge in ... ...

Abstract	Electroencephalography (EEG) remains an essential diagnostic tool for people with epilepsy (PWE). The International Federation of Clinical Neurophysiology produces new guidelines as an educational service for clinicians to address gaps in knowledge in clinical neurophysiology. The current guideline was prepared in response to gaps present in epilepsy-related neurophysiological assessment and is not intended to replace sound clinical judgement in the care of PWE. Furthermore, addressing specific pathophysiological conditions of the brain that produce epilepsy is of primary importance though is beyond the scope of this guideline. Instead, our goal is to summarize the scientific evidence for the utility of EEG when diagnosing and monitoring PWE.
MeSH term(s)	Adult ; Brain/physiopathology ; Electroencephalography ; Epilepsy/diagnosis ; Epilepsy/physiopathology ; Humans ; Seizures/diagnosis ; Seizures/physiopathology
Language	English
Publishing date	2018-02-01
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	1463630-x
ISSN	1872-8952 ; 0921-884X ; 1388-2457
ISSN (online)	1872-8952
ISSN	0921-884X ; 1388-2457
DOI	10.1016/j.clinph.2018.01.019
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Article: Migrainous phenomenon precipitated by lumbar puncture headache.

Drislane, F W

Cephalalgia : an international journal of headache

1994 Volume 14, Issue 5, Page(s) 379–380

Abstract: This case report describes a patient without personal or family history of migraine or other recurrent headaches who developed a typical lumbar puncture headache leading to a characteristic migrainous visual field deficit. There was no history of ... ...

Abstract	This case report describes a patient without personal or family history of migraine or other recurrent headaches who developed a typical lumbar puncture headache leading to a characteristic migrainous visual field deficit. There was no history of analgesic or other medication use or other precipitant, and neither symptom recurred in years of follow-up. The sequence of symptoms suggests that mechanical distortion or irritation of cranial pain-sensitive structures can precede and precipitate the migrainous cortical dysfunction.
MeSH term(s)	Adult ; Headache/etiology ; Headache/physiopathology ; Humans ; Migraine Disorders ; Spinal Puncture/adverse effects
Language	English
Publishing date	1994-10
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	604567-4
ISSN	0333-1024
ISSN	0333-1024
DOI	10.1046/j.1468-2982.1994.1405379.x
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Article: Nonconvulsive status epilepticus in patients with cancer.

Drislane, F W

Clinical neurology and neurosurgery

1994 Volume 96, Issue 4, Page(s) 314–318

Abstract: Patients with systemic cancer may have altered mental status without evidence of metastases, strokes, or metabolic encephalopathies. Six such patients are described whose EEGs showed continuous generalized epileptiform discharges in the absence of ... ...

Abstract	Patients with systemic cancer may have altered mental status without evidence of metastases, strokes, or metabolic encephalopathies. Six such patients are described whose EEGs showed continuous generalized epileptiform discharges in the absence of clinical signs of seizures. Two patients had never had any clinical evidence of seizures, and four had seizures that were thought to have stopped before the EEG. Three patients were confused, and three were stuporous or comatose. In some patients the nonconvulsive epileptic activity may have been directly related to the cancer; three had findings suggestive of possible paraneoplastic encephalopathies. Anticonvulsants led to an improved mental status in four patients, but all except one died. Nonconvulsive generalized status epilepticus may explain altered mental status in some patients with cancer, and anticonvulsant medication treatment can be beneficial.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Anticonvulsants/therapeutic use ; Cerebral Cortex/drug effects ; Cerebral Cortex/physiopathology ; Electroencephalography/drug effects ; Epilepsy, Generalized/diagnosis ; Epilepsy, Generalized/drug therapy ; Evoked Potentials/drug effects ; Female ; Humans ; Male ; Mental Status Schedule ; Middle Aged ; Paraneoplastic Syndromes/diagnosis ; Paraneoplastic Syndromes/drug therapy ; Status Epilepticus/diagnosis ; Status Epilepticus/drug therapy
Chemical Substances	Anticonvulsants
Language	English
Publishing date	1994-11
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	193107-6
ISSN	1872-6968 ; 0303-8467
ISSN (online)	1872-6968
ISSN	0303-8467
DOI	10.1016/0303-8467(94)90121-x
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Article: Use of evoked potentials in the diagnosis and follow-up of multiple sclerosis.

Drislane, F W

Clinical neuroscience (New York, N.Y.)

1994 Volume 2, Issue 3-4, Page(s) 196–201

Abstract: Many types of evoked potentials (EPs) can help in assisting the diagnosis of multiple sclerosis. Visual EPs are the most useful because of the clinical importance of the optic nerves and because of their sensitivity, precision, and reproducibility. ... ...

Abstract	Many types of evoked potentials (EPs) can help in assisting the diagnosis of multiple sclerosis. Visual EPs are the most useful because of the clinical importance of the optic nerves and because of their sensitivity, precision, and reproducibility. Brainstem auditory EPs require less patient preparation but have a lower yield. Somatosensory EPs cover a greater expanse of the nervous system and have a high sensitivity in MS, but their recording and interpretation vary more across laboratories. Motor EPs also have a high yield in MS patients. EPs are unlikely to be reliable in gauging disease progress in individuals, but they may have a role in assessing progression in clinical trial cohorts. All EPs require careful attention to technical standards and experienced interpretation with an appropriate clinical perspective.
MeSH term(s)	Evoked Potentials/physiology ; Evoked Potentials, Auditory, Brain Stem/physiology ; Evoked Potentials, Visual/physiology ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Multiple Sclerosis/diagnosis ; Multiple Sclerosis/physiopathology ; Reproducibility of Results ; Sensitivity and Specificity
Language	English
Publishing date	1994
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1177242-6
ISSN	1065-6766
ISSN	1065-6766
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Article ; Online: Assessing general versus specific liability for externalizing problems in adolescence: Concurrent and prospective prediction of symptoms of conduct disorder, ADHD, and substance use.

Perkins, Emily R / Joyner, Keanan J / Foell, Jens / Drislane, Laura E / Brislin, Sarah J / Frick, Paul J / Yancey, James R / Soto, Elia F / Ganley, Colleen M / Keel, Pamela K / Sica, Claudio / Flor, Herta / Nees, Frauke / Banaschewski, Tobias / Bokde, Arun L W / Desrivières, Sylvane / Grigis, Antoine / Garavan, Hugh / Gowland, Penny /

Heinz, Andreas / Ittermann, Bernd / Martinot, Jean-Luc / Paillère Martinot, Marie-Laure / Artiges, Eric / Papadopoulos Orfanos, Dimitri / Poustka, Luise / Hohmann, Sarah / Fröhner, Juliane H / Smolka, Michael N / Walter, Henrik / Whelan, Robert / Schumann, Gunter / The Imagen Consortium / Patrick, Christopher J

Journal of psychopathology and clinical science

2022 Volume 131, Issue 7, Page(s) 793–807

Abstract: This study explored the generality versus specificity of two trait-liability factors for externalizing problems-disinhibition and callousness-in the concurrent and prospective prediction of symptoms of conduct disorder, attention-deficit/hyperactivity ... ...

Abstract	This study explored the generality versus specificity of two trait-liability factors for externalizing problems-disinhibition and callousness-in the concurrent and prospective prediction of symptoms of conduct disorder, attention-deficit/hyperactivity disorder (ADHD), and substance use (i.e., alcohol use disorder and history of illicit substance use). Disinhibition involves an impulsive, unrestrained cognitive-behavioral style; callousness entails a dispositional lack of social-emotional sensitivity. Participants were European adolescents from the multisite IMAGEN project who completed questionnaires and clinical interviews at ages 14 (N = 1,504, Mage = 14.41, 51.13% female) and 16 (N = 1,407, Mage = 16.46, 51.88% female). Disinhibition was related concurrently and prospectively to greater symptoms of conduct disorder, ADHD, and alcohol use disorder; higher scores on a general externalizing factor; and greater likelihood of having tried an illicit substance. Callousness was selectively related to greater conduct disorder symptoms. These findings indicate disinhibition confers broad liability for externalizing spectrum disorders, perhaps due to its affiliated deficits in executive function. In contrast, callousness appears to represent more specific liability for antagonistic (aggressive/exploitative) forms of externalizing, as exemplified by antisocial behavior. Results support the utility of developmental-ontogenetic and hierarchical-dimensional models of psychopathology and have important implications for early assessment of risk for externalizing problems. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
MeSH term(s)	Adolescent ; Alcoholism ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Conduct Disorder/diagnosis ; Female ; Humans ; Male ; Prospective Studies ; Substance-Related Disorders/epidemiology
Language	English
Publishing date	2022-08-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	3121059-4
ISSN	2769-755X
ISSN (online)	2769-755X
DOI	10.1037/abn0000743
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Article: Depth of EEG suppression and outcome in barbiturate anesthetic treatment for refractory status epilepticus.

Krishnamurthy, K B / Drislane, F W

Epilepsia

1999 Volume 40, Issue 6, Page(s) 759–762

Abstract: Purpose: Barbiturate anesthetic treatment of patients with refractory status epilepticus (RSE) is often titrated to a burst-suppression record on the EEG. We sought to determine whether the depth of EEG suppression correlated with persistent seizure ... ...

Abstract	Purpose: Barbiturate anesthetic treatment of patients with refractory status epilepticus (RSE) is often titrated to a burst-suppression record on the EEG. We sought to determine whether the depth of EEG suppression correlated with persistent seizure control in such patients. Methods: We reviewed the EEGs and clinical course of patients treated with pentobarbital (PTB) for RSE. Persistent seizure control or relapse to status epilepticus after the taper of PTB was determined with reference to the depth of EEG suppression during treatment. Results: Of 35 patients tapering PTB, persistent seizure control was achieved in six of 12 patients reaching a burst-suppression record at greatest depth of EEG suppression and in 17 of 20 patients reaching a "flat" record; three patients with neither pattern had persistent control. Survival also was somewhat better in the more suppressed group. Isolated epileptiform discharges during the barbiturate infusion did not correlate with outcome. Recurrence of electrographic status after PTB taper predicted clinical relapse. Conclusions: The EEG is important in managing PTB treatment for patients with RSE. Some period of intense seizure and EEG suppression may help in preventing relapse of status after the PTB taper. It is not necessary to suppress all epileptiform discharges, but persistent clinical and EEG monitoring is necessary to avoid relapses.
MeSH term(s)	Adjuvants, Anesthesia/administration & dosage ; Adjuvants, Anesthesia/therapeutic use ; Adult ; Anesthetics/administration & dosage ; Anesthetics/therapeutic use ; Anesthetics, Intravenous/therapeutic use ; Barbiturates/administration & dosage ; Barbiturates/therapeutic use ; Brain/drug effects ; Brain/physiopathology ; Electroencephalography/drug effects ; Electroencephalography/statistics & numerical data ; Humans ; Infusions, Intravenous ; Middle Aged ; Pentobarbital/administration & dosage ; Pentobarbital/therapeutic use ; Secondary Prevention ; Status Epilepticus/diagnosis ; Status Epilepticus/drug therapy ; Status Epilepticus/physiopathology ; Thiopental/therapeutic use ; Treatment Outcome
Chemical Substances	Adjuvants, Anesthesia ; Anesthetics ; Anesthetics, Intravenous ; Barbiturates ; Pentobarbital (I4744080IR) ; Thiopental (JI8Z5M7NA3)
Language	English
Publishing date	1999-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	216382-2
ISSN	1528-1167 ; 0013-9580
ISSN (online)	1528-1167
ISSN	0013-9580
DOI	10.1111/j.1528-1157.1999.tb00775.x
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