Seizure Detection with a Commercially Available Bedside EEG Monitor and the Subhairline Montage
Seizure Detection with a Commercially Available Bedside EEG Monitor and the Subhairline Montage
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DOI：
10.1007/s12028-009-9248-2
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发表时间：
2009-12-01
影响因子：
3.5
通讯作者：
Davies-Schinkel, Corrine
中科院分区：
文献类型：
--
作者：
Young, G. Bryan;Sharpe, Michael D.;Davies-Schinkel, Corrine
ICU中标准连续脑电图（cEEG）监测的可用性非常有限，尽管许多ICU中存在市售的4通道模块。我们比较了这些模块与标准EEG系统进行更全面监测的灵敏度，并使用4通道商业ICU床旁监护系统同时记录了内科-外科重症监护病房和癫痫监测病房中70例癫痫发作高危患者至少24 h（Datex-Ohmeda）与发际线下的蒙太奇和使用国际10-20电极放置系统的标准EEG机（XLTEK）。4通道记录显示癫痫发作检测的灵敏度为68%，特异性为98%，棘波和PLEDs检测的灵敏度为39%，特异性为92%，4通道EEG模块在标准cEEG监测不可用时对癫痫发作检测的实用性有限。
Availability of standard, continuous electroencephalography (cEEG) monitoring in ICU is very limited, although commercially available 4-channel modules are present in many ICUs. We investigated the sensitivity of such modules compared with the more complete monitoring with a standard EEG system.Seventy patients at high risk of seizures in the medical-surgical intensive care unit and Epilepsy Monitoring Unit were recorded simultaneously for at least 24 h with a 4-channel commercial ICU bedside monitoring system (Datex-Ohmeda) with a subhairline montage and a standard EEG machine (XLTEK) using the international 10-20 system of electrode placement. Recordings were interpreted independently from each other.The 4-channel recordings demonstrated a sensitivity of 68 and 98% specificity for seizure detection, and a sensitivity of 39% and a specificity of 92% for detection of spikes and PLEDs.The 4-channel EEG module has limited but practical usefulness for seizure detection when standard cEEG monitoring is not available.