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脑电图在神经系统急症和重症监护中的应用

[Utility of EEG in neurological emergencies and critical care].

作者信息

Yoshimura Hajime

机构信息

Department of Neurology, Kobe City Medical Center General Hospital.

出版信息

Rinsho Shinkeigaku. 2024 Oct 29;64(10):699-707. doi: 10.5692/clinicalneurol.cn-001928. Epub 2024 Oct 26.

Abstract

EEG is useful for evaluation of pathophysiology and prognostication of neurocritically ill patients, as it provides non-invasive, real-time monitoring of cerebral function. There have been recently a lot of advances in research on critical care EEG according to the American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology. Based on the latest knowledge, this review discusses clinical utilization of EEG in neurocritically ill patients, including critical care continuous EEG monitoring, and key points of interpretation of critical care EEG, classifying main purposes into three points: detection of electrographic and electroclinical seizures, consideration of special encephalopathies, and evaluation and prognostication of cerebral function. Neurologists should have fundamental ability to read and interpret critical care EEG and support treating physicians in terms of therapeutic strategy.

摘要

脑电图(EEG)对于评估神经危重症患者的病理生理学和预后很有用,因为它能对脑功能进行无创、实时监测。根据美国临床神经生理学会的标准化危重症脑电图术语,近年来危重症脑电图研究取得了很多进展。基于最新知识,本综述讨论了脑电图在神经危重症患者中的临床应用,包括危重症连续脑电图监测以及危重症脑电图解读要点,将主要目的分为三点:检测脑电图和电临床发作、考虑特殊脑病以及评估脑功能和预后。神经科医生应具备阅读和解读危重症脑电图的基本能力,并在治疗策略方面为治疗医生提供支持。

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