Division of Neurology, The Children's Hospital of Philadelphia and Department of Neurology, The University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
J Clin Neurophysiol. 2013 Apr;30(2):134-42. doi: 10.1097/WNP.0b013e3182872af9.
Continuous EEG monitoring is being used with increasing frequency in critically ill children with hypoxic ischemic encephalopathy, congenital heart disease, stroke, and extracorporeal membrane oxygenation (ECMO). The primary indication for EEG monitoring is to identify electrographic seizures and electrographic status epilepticus, which have been associated with worse outcome in some populations. A secondary indication is to provide prognostic information. This review summarizes the available data regarding continuous EEG monitoring in critically ill children with special attention to hypoxic ischemic encephalopathy, congenital heart disease, stroke, and children undergoing ECMO.
连续脑电图监测在患有缺氧缺血性脑病、先天性心脏病、中风和体外膜肺氧合(ECMO)的危重病儿童中越来越频繁地使用。脑电图监测的主要指征是识别电发作和电癫痫持续状态,这在某些人群中与更差的预后相关。次要指征是提供预后信息。这篇综述总结了关于危重病儿童连续脑电图监测的现有数据,特别关注缺氧缺血性脑病、先天性心脏病、中风和接受 ECMO 的儿童。