Contact dermatitis associated with the Bispectral index™ sensor: a case report

• Main Authors: Noriko Taguchi, Shijima Taguchi, Syoichiro Ishizuki, Hiroyuki Ito
• Format: Article
• Language: English
• Published: SpringerOpen 2020-10-01
• Series: JA Clinical Reports
• Subjects: Bispectral index sensor; Contact dermatitis; Complication
• Online Access: http://link.springer.com/article/10.1186/s40981-020-00393-w

Abstract Background Contact dermatitis caused by electroencephalography electrodes is rare and insufficiently studied. We described a case of contact dermatitis caused by Bispectral Index (BIS) monitor electrodes. Case presentation A 38-year-old woman underwent tooth extraction under general anesthesia with BIS monitoring. She noticed erythema on her forehead 3 days after surgery, which peaked on the fifth postoperative day. Slight pigmentation was observed at 42 days after surgery. We performed patch testing and confirmed positive reactions to the sensor and some allergens. Conclusions Many reports have attributed contact dermatitis to an allergen present in electrocardiogram electrodes. It is important to recognize that complications similar to those caused by electrocardiogram electrodes can occur with this sensor.