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Mechanism of Burst-Suppression During General Anesthesia: Review of Narrative Literature

Received: 3 October 2023    Accepted: 1 November 2023    Published: 8 January 2024
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Abstract

Burst suppression is an electroencephalography pattern that is characterized by periods of high-voltage electrical activity alternating with periods of no activity in the brain. The pattern is found in patients with inactivated brain states, such as from general anaesthesia, coma, or hypothermia. The pseudo-rhythmic pattern of burst suppression is dictated by extracellular calcium depletion and the ability of neurons to restore the concentration. Bursts are accompanied by depletion of extracellular cortical calcium ions to levels that inhibit synaptic transmission, which leads to suppression periods. During suppression, neuronal pumps restore the calcium ion concentrations to normal levels, thus causing the cortex to be subject to the process again. As the brain becomes more inactive, burst periods become shorter and suppression periods become longer. The shortening of bursts and lengthening of suppression is caused by the central nervous system's inability to properly regulate calcium levels due to increased blood brain permeability.

Published in Clinical Neurology and Neuroscience (Volume 8, Issue 1)
DOI 10.11648/j.cnn.20240801.11
Page(s) 1-7
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Burst-Suppression, Electroencephalography Pattern, Cerebral Blood Flow Velocity

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  • APA Style

    Mansoj, H. M., Basse, A. M., Sow, A. D. (2024). Mechanism of Burst-Suppression During General Anesthesia: Review of Narrative Literature. Clinical Neurology and Neuroscience, 8(1), 1-7. https://doi.org/10.11648/j.cnn.20240801.11

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    ACS Style

    Mansoj, H. M.; Basse, A. M.; Sow, A. D. Mechanism of Burst-Suppression During General Anesthesia: Review of Narrative Literature. Clin. Neurol. Neurosci. 2024, 8(1), 1-7. doi: 10.11648/j.cnn.20240801.11

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    AMA Style

    Mansoj HM, Basse AM, Sow AD. Mechanism of Burst-Suppression During General Anesthesia: Review of Narrative Literature. Clin Neurol Neurosci. 2024;8(1):1-7. doi: 10.11648/j.cnn.20240801.11

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  • @article{10.11648/j.cnn.20240801.11,
      author = {Halladain Mpung Mansoj and Anna Modji Basse and Adjaratou Dieynabou Sow},
      title = {Mechanism of Burst-Suppression During General Anesthesia: Review of Narrative Literature},
      journal = {Clinical Neurology and Neuroscience},
      volume = {8},
      number = {1},
      pages = {1-7},
      doi = {10.11648/j.cnn.20240801.11},
      url = {https://doi.org/10.11648/j.cnn.20240801.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20240801.11},
      abstract = {Burst suppression is an electroencephalography pattern that is characterized by periods of high-voltage electrical activity alternating with periods of no activity in the brain. The pattern is found in patients with inactivated brain states, such as from general anaesthesia, coma, or hypothermia. The pseudo-rhythmic pattern of burst suppression is dictated by extracellular calcium depletion and the ability of neurons to restore the concentration. Bursts are accompanied by depletion of extracellular cortical calcium ions to levels that inhibit synaptic transmission, which leads to suppression periods. During suppression, neuronal pumps restore the calcium ion concentrations to normal levels, thus causing the cortex to be subject to the process again. As the brain becomes more inactive, burst periods become shorter and suppression periods become longer. The shortening of bursts and lengthening of suppression is caused by the central nervous system's inability to properly regulate calcium levels due to increased blood brain permeability.
    },
     year = {2024}
    }
    

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    AB  - Burst suppression is an electroencephalography pattern that is characterized by periods of high-voltage electrical activity alternating with periods of no activity in the brain. The pattern is found in patients with inactivated brain states, such as from general anaesthesia, coma, or hypothermia. The pseudo-rhythmic pattern of burst suppression is dictated by extracellular calcium depletion and the ability of neurons to restore the concentration. Bursts are accompanied by depletion of extracellular cortical calcium ions to levels that inhibit synaptic transmission, which leads to suppression periods. During suppression, neuronal pumps restore the calcium ion concentrations to normal levels, thus causing the cortex to be subject to the process again. As the brain becomes more inactive, burst periods become shorter and suppression periods become longer. The shortening of bursts and lengthening of suppression is caused by the central nervous system's inability to properly regulate calcium levels due to increased blood brain permeability.
    
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Author Information
  • Department of neurology, Cheikh Anta Diop University, Fann Teaching Hospital, Dakar, Senegal

  • Department of neurology, Cheikh Anta Diop University, Fann Teaching Hospital, Dakar, Senegal

  • Department of neurology, Cheikh Anta Diop University, Fann Teaching Hospital, Dakar, Senegal

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