This book is designed to meet the need for a practically oriented textbook on the rapidly growing field of continuous EEG (c EEG) monitoring. A wide range of key clinical aspects are addressed, with explanation of status epilepticus classification, criteria for institution of monitoring, seizure patterns and their recognition, quantitative EEG analysis, and neuroimaging in patients undergoing c EEG monitoring. The value of c EEG and the nature of c EEG findings in various special situations are then reviewed, covering particular pathologies, critical care considerations, and prognostication. Treatments of nonconvulsive status epilepticus (NCSE) and nonconvulsive seizures (NCS) are discussed. The concluding section is devoted to important administrative issues including billing, staffing issues, comparison of EEG machines, and information technology (IT) issues.
Continuous EEG monitoring offers the only reliable means of detecting seizures that are not clinically obvious in critically ill patients. Such seizures are common: approximately 20% of patients undergoing c EEG monitoring in hospital have NCSE or NCS. Against this background, many hospitals have started to offer c EEG monitoring as a basis for delivery of appropriate treatment. By presenting the state of the art in c EEG monitoring, this book will be invaluable to practitioners including neurophysiologists, neurologists, neurointensivists, intensivists, neurophysiology and epilepsy fellows, and neurology residents.
Table des matières
Part 1 Clinical Aspects: History of CEEG Monitoring.- Neurologic injury with recurrent electrographic seizures.- Epidemiology of Seizures in ICU.- Epidemiology of Seizures in ICU in Pediatrics.- SE/NCSE/NSC Classification.- Criteria for c EEEG Monitoring.- Electrographic seizures – Recognition.- Electrographic seizures – Samples.- Periodic complexes – Classification.- Periodic complexes – Examples.- Patterns of uncertain significance.- Seizure Patterns in Pediatrics – Recognition.- Seizure Patterns in Pediatrics – Examples.- Artifacts Resembling Seizures and Periodic Complex.- Quantitative EEG Analysis – Basics.- QEEG in Seizure Detection.- QEEG Samples – Seizures.- QEEG in Neonatal Seizures.- QEEG in Nonseizure Indications.- QEEG Training Module.- Neuroimaging.- Part 2 Special Situations: Acute anoxic encephalopathy.- Autoimmune and Infectious NCSE/NCS.- Focal Neurologic Injury and NCSE/NCS.- Non-Neurologic Causes of NCSE/NCS.- Therapeutic Hypothermia in Children.- Medication Induced NCSE/NCS.- Super refractory SE.- Critical Care Considerations.- Prognostication.- Prognostication in Pediatrics.- Part 3 Treatment: Treatment of NCSE/NCS with Nonsedating AEDs.- Treatment of NCSE/NCS with General Anesthetics.- Other Treatment Options for NCSE/NCS.- Treatment of NCSE/NCS in Pediatrics.- Investigational Treatments for NCSE/NCS.- Part 4 Administrative Issues: EEG Equipment.- Electrodes and Montages.- Technical Considerations.- Staffing Issues.- Training Requirements.- Billing Considerations.- Reporting Results.- IT Issues.
A propos de l’auteur
Prof. Aatif Husain, Duke University Medical Center, Neurology, 330 Trent Drive, Durham, NC 27710, USA
Dr. Saurabh R. Sinha, Duke University Medical Center, Neurology, 330 Trent Drive, Durham, NC 27710, USA
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