Continuous EEG monitoring in ICU

Journal of Intensive Care
Yuichi KubotaTakakazu Kawamata

Abstract

Continuous electroencephalogram (CEEG) monitoring is increasingly being used for brain monitoring in neurocritical care setting. This is because of the proven effectiveness of CEEG in diagnosing nonconvulsive status epilepticus (NCSE) as a cause of unexplained consciousness disorder. CEEG has been demonstrated to be effective in determining the response to, and outcome of, NCSE treatment. In this review article, the authors described the indication and methods of CEEG and diagnosis based on EEG pattern. As a condition characterized by unexplained consciousness disorder, NCSE is frequently encountered in the neurocritical care setting and is only accompanied by an altered EEG change without any clinically apparent manifestation, such as convulsion. Thus, it is considered a form of status epilepticus manifesting mainly with consciousness disorder. This is a diagnostic challenge but should not be overlooked as NCSE is a curable condition. However, CEEG is required for the correct diagnosis of NCSE, which is difficult to perform in daily clinical practice. There also are several challenges regarding urgent EEG monitoring in the intensive care unit setting, including system-related problems, such as the preparation of mobile EEG dev...Continue Reading

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Citations

Dec 27, 2019·Critical Care Medicine·Farah DinCecil D Hahn
Jul 6, 2019·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Ushtar Amin, Selim R Benbadis
Aug 10, 2019·Journal of Clinical Medicine·Micheal StreinGretchen M Brophy
Mar 25, 2020·Critical Care Medicine·Farah DinCecil D Hahn
Nov 19, 2020·The Neurodiagnostic Journal·Roshan KoulShiv Kumar Sarin
Nov 19, 2020·The Neurodiagnostic Journal·Walt Banoczi
Mar 13, 2021·Journal of Neuroscience Methods·Mats SvantessonMagnus Thordstein
Apr 28, 2021·Neurology India·Sai P HaranathSwarna D Kuragayala
Apr 27, 2021·Neurologic Clinics·Pouya Alexander AmeliCarolina B Maciel
Jun 24, 2021·Arquivos de neuro-psiquiatria·Eylem Özaydın GöksuYasemin Bıçer Gömceli
Jun 30, 2021·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·M V SinkinV V Krylov

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Software Mentioned

NCSE
CEEG

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