PMC9364176_01
EEG demonstrating continuous generalized rhythmic 2.5-3 Hz epileptiform discharges
suggestive of nonconvulsive status epilepticus three days after starting cefepime.
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CT two days later showed decreased pneumocephalus and mild soft tissue swelling with no evidence of hydrocephalus. Continuous EEG was then pursued, revealing relentless rhythmic 2.5-3 Hz generalized epileptiform discharges suggestive of nonconvulsive status epilepticus (Figure 1).
EEG illustrating electroencephalographic improvement associated with clinical
improvement two days after discontinuing cefepime as the patient returns to
baseline.
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Over the next two days, the patient demonstrated dramatical improvement on EEG monitoring and on exam, appearing to be back to her baseline state of health (Figure 2).