a Child Neuropsychiatry Unit, Medicine & Surgery Department , University of Parma , Parma , Italy.
Expert Rev Neurother. 2018 Feb;18(2):95-100. doi: 10.1080/14737175.2018.1413352. Epub 2017 Dec 8.
The role of EEG in neonatal seizure detection is well-established, being the multichannel video-EEG the gold standard. However, in the clinical practice often amplitude integrated EEG (aEEG) is used, in order to overcome the difficulties related to EEG use. Areas covered: An overview regarding neonatal seizures, current tools used to detect these (multichannel EEG versus aEEG) with respective strenghts and limitations, and some tools that can implement the use of multichannel EEG in the NICU. Expert commentary: Multichannel video-EEG is still a gold standard for seizure detection. Indeed, this tool allows to avoid both underestimation of neonatal seizure incidence and overtreatment with anticonvulsant drugs. Furthermore, it has to be acknowledged that multichannel video-EEG monitoring is not limited to the only seizure detection, providing also the information needed for a more accurate assessment of the background activity and some specific waves/pattern and features indicative of the brain development.
脑电图在新生儿惊厥检测中的作用已得到充分证实，多导视频脑电图是金标准。然而，在临床实践中，通常使用振幅整合脑电图（aEEG），以克服与脑电图使用相关的困难。
本文对新生儿惊厥、目前用于检测这些惊厥的工具（多导脑电图与 aEEG）进行了概述，分别介绍了它们的优势和局限性，以及一些可以在新生儿重症监护病房（NICU）中实施多导脑电图的工具。
多导视频脑电图仍然是惊厥检测的金标准。事实上，该工具可以避免低估新生儿惊厥的发生率和过度使用抗惊厥药物。此外，还必须承认，多导视频脑电图监测不仅限于惊厥检测，还提供了更准确评估背景活动以及一些特定波/模式和特征所需的信息，这些特征提示了大脑发育情况。
