Continuous electroencephalography for seizures and status epilepticus
Continuous electroencephalography for seizures and status epilepticus
复制标题
连续脑电图检查癫痫发作和癫痫持续状态
DOI：
10.1097/mop.0000000000000151
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发表时间：
2014
影响因子：
3.6
通讯作者：
Cecil D. Hahn
中科院分区：
文献类型：
--
作者：
E. Payne;Cecil D. Hahn
探讨连续视频脑电图（cEEG）监测在有脑电图发作和癫痫持续状态危险的危重患儿中的应用。最近的报告表明，在北美儿科机构中，脑电图监测的使用越来越多，但存在差异，并为亚临床癫痫发作的高患病率提供了证据，特别是在急性脑损伤的脑病患者中。增加癫痫发作负担和癫痫持续状态已被证明与较差的短期和长期预后独立相关。某些高危儿童经常经历脑电图发作和癫痫持续状态，通常没有临床体征，需要使用脑电图监测进行诊断和管理。虽然不断增加的电图癫痫发作负担和癫痫持续状态与较差的预后独立相关，但需要进一步的研究来确定积极使用抗癫痫药物来减轻癫痫发作负担是否可以改善预后。
Purpose of review To discuss the use of continuous video-electroencephalographic (cEEG) monitoring among critically ill children at risk for electrographic seizures and status epilepticus. Recent findings Recent reports have demonstrated the growing, but heterogeneous, use of cEEG monitoring among North American pediatric institutions, and provided evidence for the high prevalence of subclinical seizures, particularly among encephalopathic patients with acute brain injury. Increasing seizure burden and status epilepticus have been shown to be independently associated with worse short-term and long-term outcomes. Summary Certain high-risk children frequently experience electrographic seizures and status epilepticus, often without clinical signs, necessitating the use of cEEG monitoring for their diagnosis and management. Although an increasing electrographic seizure burden and status epilepticus are independently associated with worse outcome, further studies are needed to determine whether aggressive use of antiepileptic drugs to reduce seizure burden can improve outcome.
是否知道：儿科重症监护病房的脑电图监测除了成本之外还会增加什么吗？
DOI：
10.1093/brain/awu080
发表时间：
2014
期刊：
Brain : a journal of neurology
影响因子：
--
作者：
Holmes,GregoryL
通讯作者：
Holmes,GregoryL