Service de neurophysiologie clinique, CHRU Roger-Salengro, 59037 Lille cedex, France.
Neurophysiol Clin. 2013 Dec;43(5-6):267-87. doi: 10.1016/j.neucli.2013.07.001. Epub 2013 Aug 19.
The objective of this study is to specify, by reference to the normal newborn, the current contribution of the electroencephalogram (EEG) to the diagnosis and prognosis of hypoxic-ischemic encephalopathy (HIE) in the full-term newborn. Both digitized traditional EEG and cerebral function monitoring will be considered.
A good knowledge of the EEG features of the sleep-wake cycle (SWC) is a prerequisite. We first describe the main features of normal and pathological EEGs. Very early recordings (before 6hours of life) are needed to indicate any required neuroprotective (hypothermia) and other (sedation, anticonvulsivants) treatments.
Between the normal or near-normal tracings, which are associated with a good prognosis, and the very pathological ones (inactive, paroxysmal), which are associated with a poor vital or neurological prognosis, the interpretation of "intermediate" tracings--mainly represented by other types of discontinuous tracings--must take into account characteristics such as bursts and discontinuities, postnatal age, evolution of successive tracings, and treatments.
本研究旨在参照正常新生儿，明确脑电图（EEG）在足月新生儿缺氧缺血性脑病（HIE）的诊断和预后中的当前作用。将同时考虑数字化传统 EEG 和脑功能监测。
良好的睡眠-觉醒周期（SWC）脑电图特征知识是前提。我们首先描述正常和病理性 EEG 的主要特征。需要进行非常早期的记录（生命前 6 小时），以指示任何需要的神经保护（低温）和其他治疗（镇静、抗惊厥药）。
在正常或接近正常的描记之间，与良好预后相关，而在非常病理性的描记之间（无活动、阵发性），与较差的生命或神经预后相关，对“中间”描记的解释——主要由其他类型的不连续描记代表——必须考虑到特征，如爆发和不连续性、出生后年龄、连续描记的演变以及治疗。
