Continuous electroencephalographic monitoring in neurocritical care.
Continuous electroencephalographic monitoring in neurocritical care.
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DOI：
10.1007/s11910-002-0042-1
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发表时间：
2002-11-01
影响因子：
5.6
通讯作者：
Mayer, Stephan A
中科院分区：
文献类型：
--
作者：
Claassen, Jan;Mayer, Stephan A
本文综述了连续脑电图（cEEG）在神经科重症监护病房监测脑功能和生理的应用现状和未来。在昏迷患者中，cEEG可以提供其他方式无法获得的信息并影响治疗管理，还有助于确定急性脑损伤患者的预后。该技术最好用于检测亚临床癫痫发作，亚临床癫痫发作可能经常发生在惊厥性癫痫持续状态治疗期间或之后以及许多类型的急性脑损伤（特别是创伤）之后。cEEG的另一个主要应用是作为大脑功能的主要监测器。cEEG可检测局灶性脑缺血，如蛛网膜下腔出血后血管痉挛引起的脑缺血，以及与颅内压升高和脑灌注压不足相关的全脑缺血。其他潜在的应用包括昏迷中的麻醉和连续输注镇静剂治疗的滴定。新的技术发展包括连续数字视频EEG、自动化脑电图检测软件和用户友好的在线定量EEG分析。
This article reviews current and future applications of continuous electroencephalography (cEEG) to monitor brain function and physiology in the neurologic intensive care unit. In comatose patients, cEEG may provide otherwise unobtainable information and influence therapeutic management, and also help determine the prognosis of patients with acute brain injury. This technique is best used for the detection of subclinical seizures, which may frequently occur during or after treatment of convulsive status epilepticus and after many types of acute brain injury, particularly trauma. The other main application of cEEG is as a primary monitor of brain function. cEEG can detect focal cerebral ischemia, such as that caused by vasospasm after subarachnoid hemorrhage, as well as global ischemia related to intracranial pressure elevation and insufficient cerebral perfusion pressure. Other potential applications include prognostication in coma and titration of continuous infusion sedative therapy. New technologic developments include continuous digital video EEG, automated seizure-detection software, and user-friendly online quantitative EEG analysis.