Digital video-electroencephalographic monitoring in the neurological-neurosurgical intensive care unit - Clinical features and outcome
Digital video-electroencephalographic monitoring in the neurological-neurosurgical intensive care unit - Clinical features and outcome
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DOI：
10.1001/archneur.61.7.1090
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发表时间：
2004-07-01
影响因子：
--
通讯作者：
Fulgham, JR
中科院分区：
文献类型：
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作者：
Pandian, JD;Cascino, GD;Fulgham, JR
背景资料：癫痫持续状态、反复性癫痫发作或脑病伴或不伴癫痫发作的患者可在神经外科重症监护室（NICU）进行长时间脑电图（EEG）记录。在NICU接受数字视频脑电图监测（DVEEG）的患者的电临床相关性和神经学结局尚未确定。目的：评估DVEEG在NICU的临床实用性和预后重要性。方法：我们回顾性评价了1994年1月1日至2001年7月31日在明尼苏达州罗切斯特的马约诊所NICU接受DVEEG的105例患者。所有患者都进行了常规EEG记录之前DVEEG.Results：患者的平均年龄为54岁（年龄范围，16-88岁）的时间DVEEG。DVEEG的平均持续时间为2.9天（范围，1-17天）。在DVEEG时，44名患者（42%）患有严重脑病（格拉斯哥昏迷量表评分< 8）。45例（42.8%）患者为全身惊厥性癫痫持续状态，19例（18.1%）患者为非惊厥性癫痫持续状态，7例（6.7%）患者为部分持续性癫痫。平均随访时间为7个月（范围，1-54个月）。84例患者的结局包括38例患者死亡，6例患者严重神经功能缺损，即卧床不起，需要支持日常生活活动，3例患者植物人状态。15名患者在随访期间没有神经功能障碍。难治性癫痫持续状态（P
Background: Prolonged electroencephalographic (EEG) recordings in the neurological-neurosurgical intensive care unit (NICU) may be performed in patients with status epilepticus, repetitive seizure activity, or an encephalopathy with or without seizures. The electroclinical correlation and neurological outcome of patients undergoing digital video-EEG monitoring (DVEEG) in the NICU has not been determined.Objectives: To evaluate the clinical utility and prognostic importance of the DVEEG in the NICU.Methods: We retrospectively evaluated 105 patients who underwent DVEEG in the NICU at the Mayo Clinic, Rochester, Minn, between January 1, 1994, and July 31, 2001. All patients had a routine EEG recording performed prior to DVEEG.Results: The mean age of the patients at the time of the DVEEG was 54 years (age range, 16-88 years). The mean duration of the DVEEG was 2.9 days (range, 1-17 days). Forty-four patients (42%) had a severe encephalopathy (Glasgow Coma Scale score, < 8) at the time of the DVEEG. Forty-five patients (42.8%) had generalized convulsive status epilepticus, 19 patients (18.1%) had nonconvulsive status epilepticus, and 7 patients (6.7%) had epilepsia partialis continua. The mean duration of follow-up was 7 months (range, 1-54 months). The outcome in 84 patients included death in 38 patients, severe neurological deficits, that is, bed bound and needs support for activities of daily living, in 6 patients, and a vegetative state in 3 patients. Fifteen individuals had no neurological impairment during follow-up. Refractory status epilepticus (P