Unified EEG terminology and criteria for nonconvulsive status epilepticus

Unified EEG terminology and criteria for nonconvulsive status epilepticus
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DOI:
10.1111/epi.12270
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发表时间:
2013-09-01
期刊:
影响因子:
5.6
通讯作者:
Trinka, Eugen
Trinka, Eugen
中科院分区:
医学1区
文献类型:
--
作者:
Beniczky, Sandor;Hirsch, Lawrence J.;Trinka, Eugen

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非惊厥性癫痫持续状态 (NCSE) 的诊断很大程度上依赖于脑电图 (EEG) 结果。由于缺乏统一的脑电图术语和循证脑电图标准,导致 NCSE 的诊断标准和能力各不相同。我们为 NCSE 提出了一个统一的术语和分类系统,使用基于计算机的标准化脑电图组织报告 (SCORE) 作为模板。这种方法整合了最近提出的危重患者节律和周期性模式的术语、NCSE 的电临床分类(NCSE 类型)以及病理状况和年龄相关癫痫综合征的背景。我们提出灵活的脑电图标准,利用 SCORE 系统来组装数据库,以确定 NCSE 的循证脑电图标准。
The diagnosis of nonconvulsive status epilepticus (NCSE) relies largely on electroencephalography (EEG) findings. The lack of a unified EEG terminology, and of evidence-based EEG criteria, leads to varying criteria for and ability to diagnose NCSE. We propose a unified terminology and classification system for NCSE, using, as a template, the Standardised Computer-based Organised Reporting of EEG (SCORE). This approach integrates the terminology recently proposed for the rhythmic and periodic patterns in critically ill patients, the electroclinical classification of NCSE (type of NCSE) and the context for the pathologic conditions and age-related epilepsy syndromes. We propose flexible EEG criteria that employ the SCORE system to assemble a database for determining evidence-based EEG criteria for NCSE.