Amplitude-integrated electroencephalography for seizure detection in newborn infants
Amplitude-integrated electroencephalography for seizure detection in newborn infants
复制标题
DOI：
10.1016/j.siny.2018.02.003
复制
发表时间：
2018-06-01
影响因子：
3
通讯作者：
Hellstrom-Westas, Lena
中科院分区：
文献类型：
--
作者：
Hellstrom-Westas, Lena
振幅整合脑电图（aEEG）是一种经过过滤和压缩的EEG趋势，可用于长期监测所有年龄段患者的脑功能。aEEG越来越多地用于新生儿重症监护病房，因为几项研究表明其在高危新生儿中的实用性。aEEG监测的主要适应症包括围产期窒息后的脑功能早期评估和癫痫发作检测。aEEG通常从源自顶叶、中央或额叶导联的一个或两个通道记录。虽然aEEG对于识别高危婴儿和癫痫发作婴儿非常有用，但压缩趋势在检测个体癫痫发作方面具有局限性。然而，现代监护仪还显示相应的EEG（aEEG/EEG），这增加了检测到单次短暂发作的概率。为了改善对皮层电脑活动的评价，应在多学科团队中与重复的常规EEG或多通道EEG监测一起评估aEEG/EEG。(C)2018爱思唯尔有限公司版权所有。
The amplitude-integrated electroencephalogram (aEEG) is a filtered and compressed EEG trend that can be used for long-term monitoring of brain function in patients of all ages. aEEG is increasingly used in neonatal intensive care units since several studies have shown its utility in high-risk newborn infants. Main indications for aEEG monitoring include early evaluation of brain function after perinatal asphyxia and seizure detection. The aEEG is usually recorded from one or two channels derived from parietal, central, or frontal leads. Although the aEEG is very useful for identifying high-risk infants and infants with seizures, the compressed trend has limitations with regards to detection of individual seizures. However, modern monitors also display the corresponding EEG (aEEG/EEG), which increases the probability of detecting single brief seizures. For improved evaluation of electrocortical brain activity the aEEG/EEG should be assessed together with repeated conventional EEGs or multi-channel EEG monitoring in a multi-disciplinary team. (C) 2018 Elsevier Ltd. All rights reserved.