Hanging-induced status epilepticus

Survival from hanging is associated with a variety of neuropsychiatric consequences, including amnesia, localized muscle spasms, transient hemiplegia, central cord syndrome, and multiple transient neurologic findings. This report describes a near-hanging episode in a patient who subsequently had sta...

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Bibliographic Details
Published in:The American journal of emergency medicine 1999, Vol.17 (1), p.38-40
Main Authors: Pesola, Gene R, Westfal, Richard E
Format: Article
Language:English
Subjects:
Adult
anoxia
Anticonvulsants - therapeutic use
Biological and medical sciences
Diazepam - therapeutic use
Drug Therapy, Combination
Electroencephalography
Emergency Treatment
Epilepsy, Tonic-Clonic - diagnosis
Epilepsy, Tonic-Clonic - drug therapy
Epilepsy, Tonic-Clonic - etiology
Female
Hanging
Humans
hypoxia
Hypoxia, Brain - complications
Medical sciences
Miscellaneous
Neck Injuries - complications
Phenytoin - therapeutic use
seizures
status epilepticus
Status Epilepticus - diagnosis
Status Epilepticus - drug therapy
Status Epilepticus - etiology
Suicide, Attempted
Traumas. Diseases due to physical agents
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Summary:Survival from hanging is associated with a variety of neuropsychiatric consequences, including amnesia, localized muscle spasms, transient hemiplegia, central cord syndrome, and multiple transient neurologic findings. This report describes a near-hanging episode in a patient who subsequently had status epilepticus requiring 40 mg of diazepam and 1,200 mg of phenytoin for control in the prehospital and emergency department stabilization period. This is the first well-documented report of hanging with subsequent status epilepticus in an adult. The patient survived with an abnormal electroencephalogram consistent with anoxic injury and was discharged on anticonvulsant therapy, although the rationale for medication in such patients is unclear and requires further study.
ISSN:0735-6757
1532-8171
DOI:10.1016/S0735-6757(99)90012-8