Department of Neurology, University of North Carolina, Chapel Hill, North Carolina.
Department of Neurology, University of Florida, Gainesville, Florida.
Semin Neurol. 2023 Oct;43(5):675-688. doi: 10.1055/s-0043-1775816. Epub 2023 Oct 13.
Electroencephalography (EEG) is a noninvasive tool that allows the monitoring of cerebral brain function in critically ill patients, aiding with diagnosis, management, and prognostication. Specific EEG features have shown utility in the prediction of outcomes in critically ill patients with status epilepticus, acute brain injury (ischemic stroke, intracranial hemorrhage, subarachnoid hemorrhage, and traumatic brain injury), anoxic brain injury, and toxic-metabolic encephalopathy. Studies have also found an association between particular EEG patterns and long-term functional and cognitive outcomes as well as prediction of recovery of consciousness following acute brain injury. This review summarizes these findings and demonstrates the value of utilizing EEG findings in the determination of prognosis.
脑电图(EEG)是一种非侵入性工具,可监测危重病患者的大脑脑功能,有助于诊断、治疗和预后。特定的脑电图特征在预测癫痫持续状态、急性脑损伤(缺血性中风、颅内出血、蛛网膜下腔出血和外伤性脑损伤)、缺氧性脑损伤和中毒代谢性脑病的危重病患者的结局方面显示出了一定的作用。研究还发现,特定的脑电图模式与长期功能和认知结果以及急性脑损伤后意识恢复的预测之间存在关联。本综述总结了这些发现,并证明了在确定预后时利用脑电图发现的价值。