Mihara Keisuke, Nakahara Haruna, Iwashita Kouhei, Shigematsu Kenji, Yamaura Ken, Akiyoshi Kozaburo
Department of Anesthesiology, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Department of Anesthesiology, Fukuoka University Chikushi Hospital, 1-1-1 Zokumyouin, Chikushino, 818-8502, Japan.
JA Clin Rep. 2021 Oct 21;7(1):79. doi: 10.1186/s40981-021-00483-3.
Continuous electroencephalogram (EEG) monitoring is useful for assessing the level of sedation and detecting non-convulsive epileptic seizures and cerebral ischemia in the intensive care unit. This report describes a case of cerebral hemorrhagic infarction diagnosed after the detection of high-amplitude slow waves on processed EEG during sedation.
A 68-year-old man who underwent cardiac surgery was sedated in the intensive care unit following an invasive procedure. High-amplitude slow waves appeared on processed EEG monitoring before the detection of anisocoria. Computed tomography revealed a cerebral hemorrhagic infarction.
In the management of critically ill patients, continuous EEG monitoring with forehead electrodes may be useful in the early detection of brain lesions.
连续脑电图（EEG）监测有助于评估重症监护病房患者的镇静水平、检测非惊厥性癫痫发作和脑缺血。本报告描述了一例在镇静期间经处理的脑电图上检测到高幅慢波后被诊断为脑出血性梗死的病例。
一名68岁接受心脏手术的男性在侵入性手术后在重症监护病房接受镇静治疗。在检测到瞳孔不等大之前，经处理的脑电图监测显示出现高幅慢波。计算机断层扫描显示为脑出血性梗死。
在危重症患者的管理中，使用前额电极进行连续脑电图监测可能有助于早期发现脑部病变。
