A perioperative information system: Technical considerations and tradeoffs

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• 作者：Sachin Kheterpal ; Kevin K. Tremper ; Michael O’ ; Reilly ; Paul Kazanjian
• 关键词：Exclusive anesthesia contracts ; Medical director ; History of exclusive contracts ; Exclusive contract provisions ; Group’ ; s obligations
• 刊名：Seminars in Anesthesia, Perioperative Medicine and Pain
• 出版年：2004
• 出版时间：June 2004
• 年：2004
• 卷：23
• 期：2
• 页码：125-132
• 全文大小：116 K

文摘

Episodic nocturnal wandering is rare and thought to be an atypical form of nocturnal epilepsy which is responsive to anticonvulsant therapy. We report a case of adult-onset episodic sleep-walking and daytime complex visual hallucination. Ambulatory EEG recordings suggested that both events were ictal phenomenon. Interictal sphenoidal EEG and SPECT studies revealed an epileptogenic focus in the left anterior temporal lobe. During the nocturnal wanderings, the patient had bizarre but non-violent behaviour, and was at risk of minor or severe injury to himself. Both events were completely controlled by carbamazepine for a follow-up period of 8 years. The present case further supports the notion that episodic nocturnal wandering represents an unusual type of nocturnal complex partial seizures.