Wittman John J, Hirsch Lawrence J
Comprehensive Epilepsy Center, Columbia University, New York, NY 10032, USA.
Neurocrit Care. 2005;2(3):330-41. doi: 10.1385/ncc:2:3:330.
The use of continuous electroencephalogram (cEEG) monitoring in the intensive care unit is becoming more widespread, with improvements in data storage capability and networking and the increasing awareness of nonconvulsive seizures. Current and potential uses for this technology include seizure detection, ischemia detection, and prognostication. Nonconvulsive seizures are common in the critically ill, particularly those with acute brain injury and those who are comatose. The implications of some of the electrographical patterns observed in critically ill patients are not yet clear. This article discusses findings with cEEG to date, pitfalls in performing and interpreting these studies, and where we should turn our attention with this underutilized brain monitoring technique.
随着数据存储能力和网络技术的改进以及对非惊厥性癫痫认识的提高，重症监护病房中连续脑电图（cEEG）监测的应用越来越广泛。该技术当前和潜在的用途包括癫痫检测、缺血检测和预后评估。非惊厥性癫痫在重症患者中很常见，尤其是急性脑损伤患者和昏迷患者。重症患者中观察到的一些脑电图模式的意义尚不清楚。本文讨论了迄今为止cEEG的研究结果、进行和解读这些研究时的陷阱，以及对于这种未得到充分利用的脑监测技术我们应关注的方向。
