[Utility of EEG in neurological emergencies and critical care].

Q4 Medicine Clinical Neurology Pub Date : 2024-10-29 Epub Date: 2024-10-26 DOI:10.5692/clinicalneurol.cn-001928
Hajime Yoshimura
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Abstract

EEG is useful for evaluation of pathophysiology and prognostication of neurocritically ill patients, as it provides non-invasive, real-time monitoring of cerebral function. There have been recently a lot of advances in research on critical care EEG according to the American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology. Based on the latest knowledge, this review discusses clinical utilization of EEG in neurocritically ill patients, including critical care continuous EEG monitoring, and key points of interpretation of critical care EEG, classifying main purposes into three points: detection of electrographic and electroclinical seizures, consideration of special encephalopathies, and evaluation and prognostication of cerebral function. Neurologists should have fundamental ability to read and interpret critical care EEG and support treating physicians in terms of therapeutic strategy.

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[脑电图在神经系统急症和重症监护中的作用]。
脑电图对神经重症患者的病理生理学评估和预后判断非常有用,因为它可以对脑功能进行非侵入性的实时监测。根据美国临床神经生理学会(American Clinical Neurophysiology Society)的《重症监护脑电图标准化术语》(Standized Critical Care EEG Terminology),重症监护脑电图的研究近来取得了很大进展。本综述以最新知识为基础,讨论了神经重症患者脑电图的临床应用,包括重症持续脑电图监测,以及重症脑电图的解读要点,将主要目的分为三点:检测电图和电临床发作、考虑特殊脑病、评估和预后脑功能。神经科医生应具备阅读和解读重症监护脑电图的基本能力,并在治疗策略方面为主治医生提供支持。
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来源期刊
Clinical Neurology
Clinical Neurology Medicine-Neurology (clinical)
CiteScore
0.30
自引率
0.00%
发文量
147
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