John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.
J Neurol. 2012 Apr;259(4):783-9. doi: 10.1007/s00415-012-6425-6.
Electroencephalography (EEG) has been in continuous development over at least 70 years and is firmly established as a tool in the management of epilepsy. For a while, the technique fell into disregard because of difficulties with interpretation, specificity and sensitivity. Whilst clinicians have to be aware of these problems, they have been largely addressed by recent computer digitization of signals, which permits longer standard recordings and monitoring linked to a simultaneous video. These techniques are not only an essential component of a specialist epilepsy service, where inpatient video-EEG telemetry is vital both for diagnosis and assessment before neurosurgical treatment, but also in general and acute medical settings, particularly for the management of status epilepticus. Further developments in computing will extend the use of EEG in all of these roles and long-term monitoring for diagnosis and management of coma will become more widely available.
脑电图 (EEG) 至少已经连续发展了 70 多年，并且已经成为癫痫管理的重要工具。由于解释、特异性和敏感性方面的困难，该技术曾一度被忽视。尽管临床医生必须意识到这些问题，但最近信号的计算机数字化在很大程度上解决了这些问题，这使得标准记录和与同时视频相关的监测时间更长。这些技术不仅是专门的癫痫服务的重要组成部分，在这些服务中，住院视频-脑电图遥测对于神经外科治疗前的诊断和评估至关重要，而且在一般和急性医疗环境中也是如此，特别是在癫痫持续状态的管理方面。计算技术的进一步发展将扩大 EEG 在所有这些方面的应用，用于昏迷的诊断和管理的长期监测将变得更加普及。
