{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:12:03Z","timestamp":1789153923064,"version":"build-2803163510"},"reference-count":4,"publisher":"IMR Press","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p>A 40-year-old woman with a history of absence seizures presented to the accident and emergency department in status epilepticus following generalized tonic clonic seizures. The patient was drowsy (Glasgow Coma Scale 10\/15) and had vomited several times during the preceding 24 hours. The seizures were controlled with lorazepam and phenytoin. She was sedated and intubated uneventfully and transferred to the radiology department for a computed tomography brain scan. The computed tomography scan of the brain was normal; she had no further seizures and was extubated, with a Glasgow Coma Scale of 12\/15 post extubation. She had two further episodes of vomiting following extubation.<\/jats:p>\n                  <jats:p>Two hours later she developed respiratory distress associated with a high-pitched voice, stridor, and massive facial and upper body swelling. She was intubated once again, this time there was a limited view of the airway secondary to soft tissue swelling. Chest X-ray and computed tomography of the thorax revealed massive subcutaneous emphysema and bilateral pneumothoraces (Figures 1 and 2), which were decompressed. The computed tomography scan also revealed a focus of air within the mid-third of the oesophagus representing an oesophageal perforation (Figure 2). The patient was managed conservatively with intravenous antibiotics and nasojejunal feeding. Ten days later she was weaned from mechanical ventilation and transferred to the ward. She was discharged home 1 month after admission.<\/jats:p>","DOI":"10.12968\/hmed.2010.71.1.45977","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T09:48:34Z","timestamp":1400838514000},"page":"53-53","source":"Crossref","is-referenced-by-count":1,"title":["Boerhaave's syndrome complicating  status epilepticus"],"prefix":"10.31083","volume":"71","author":[{"given":"Cheron","family":"Bailey","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, St Georges Hospital, London SW17 0QT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siun","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, St Georges Hospital, London SW17 0QT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","reference":[{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)63335-8"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1159\/000191283"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.07.024"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1016\/0952-8180(89)90011-1"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2010.71.1.45977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:15:52Z","timestamp":1770372952000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/71\/1\/10.12968\/hmed.2010.71.1.45977"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,1]]}},"alternative-id":["10.12968\/hmed.2010.71.1.45977"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2010.71.1.45977","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,1]]}}}