Kuratani John, Pearl Phillip L, Sullivan Lucy R, Riel-Romero Rosario Maria S, Cheek Janna, Stecker Mark M, Orta Daniel San Juan, Selioutski Olga, Sinha Saurabh R, Drislane Frank W, Tsuchida Tammy N
a The Permanente Medical Group , Department of Pediatric Neuroscience , Kaiser Permanente, Santa Clara , California.
b Department of Epilepsy and Clinical Neurophysiology , Boston Children's Hospital , Boston , Massachusetts.
Neurodiagn J. 2016;56(4):266-275. doi: 10.1080/21646821.2016.1245568.
This revision to the EEG Guidelines is an update incorporating the current electroencephalography technology and practice. It was previously published as Guideline 2. Similar to the prior guideline, it delineates the aspects of Guideline 1 that should be modified for neonates and young children. Recording conditions for photic stimulation and hyperventilation are revised to enhance the provocation of epileptiform discharges. Revisions recognize the difficulties involved in performing an EEG under sedation in young children. Recommended neonatal EEG montages are displayed for the reduced set of electrodes only since the montages in Guideline 3 should be used for a 21-electrode 10-20 system array. Neonatal documentation is updated to use current American Academy of Pediatrics term "postmenstrual age" rather than "conceptional age." Finally, because therapeutic hypothermia alters the prognostic value of neonatal EEG, the necessity of documenting the patient's temperature at the time of recording is emphasized.
《脑电图指南》的此次修订是一次更新，纳入了当前的脑电图技术与实践。它之前作为指南2发布。与先前的指南类似，它阐述了指南1中针对新生儿和幼儿应修改的方面。对光刺激和过度换气的记录条件进行了修订，以增强癫痫样放电的诱发。修订认识到在幼儿镇静状态下进行脑电图检查所涉及的困难。仅展示了推荐的新生儿脑电图导联组合，用于减少的电极组，因为指南3中的导联组合应适用于21电极10 - 20系统阵列。新生儿记录更新为使用美国儿科学会当前术语“孕龄”而非“受精龄”。最后，由于治疗性低温会改变新生儿脑电图的预后价值，强调了在记录时记录患者体温的必要性。
