Department of Neurology and Pediatrics, Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia, PA, USA.
Department of Neurology and Pediatrics, Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia, PA, USA.
Semin Fetal Neonatal Med. 2018 Jun;23(3):168-174. doi: 10.1016/j.siny.2018.01.001. Epub 2018 Jan 17.
Seizures represent a manifestation of neurological disease in the neonatal period. Historically, neonatal seizures were identified by direct clinical observation. However, since most seizures are electroencephalographic (EEG)-only (subclinical, non-convulsive) and clinical manifestations may be subtle, many clinicians place increasing importance on EEG data including conventional EEG or amplitude-integrated EEG to identify seizures in neonates. Beyond seizure identification, the EEG is a robust source of information about brain function that can be useful for neurobehavioral prognostication in some neonates. This review summarizes the available data regarding EEG for neonatal seizure diagnosis and brain function assessment.
发作是新生儿期神经系统疾病的一种表现。历史上,新生儿发作是通过直接临床观察来确定的。然而,由于大多数发作仅为脑电图(EEG)表现(临床下、非惊厥性),且临床表现可能较为微妙,因此许多临床医生越来越重视脑电图数据,包括常规脑电图或振幅整合脑电图,以识别新生儿发作。除了识别发作外,脑电图还是大脑功能的可靠信息源,对于某些新生儿的神经行为预后评估可能有用。这篇综述总结了关于脑电图用于新生儿发作诊断和脑功能评估的现有数据。