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定量脑电图在神经系统急症和重症监护病房临床实践中的应用

Utility of Quantitative EEG in Neurological Emergencies and ICU Clinical Practice.

作者信息

Veciana de Las Heras Misericordia, Sala-Padro Jacint, Pedro-Perez Jordi, García-Parra Beliu, Hernández-Pérez Guillermo, Falip Merce

机构信息

Neurology Service, Neurophysiology Department, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, 08908 L'Hospitalet de Llobregat, Barcelona, Spain.

Neurology Service, Epilepsy Unit, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, 08908 L'Hospitalet de Llobregat, Barcelona, Spain.

出版信息

Brain Sci. 2024 Sep 20;14(9):939. doi: 10.3390/brainsci14090939.

DOI:10.3390/brainsci14090939
PMID:39335433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11430096/
Abstract

The electroencephalogram (EEG) is a cornerstone tool for the diagnosis, management, and prognosis of selected patient populations. EEGs offer significant advantages such as high temporal resolution, real-time cortical function assessment, and bedside usability. The quantitative EEG (qEEG) added the possibility of long recordings being processed in a compressive manner, making EEG revision more efficient for experienced users, and more friendly for new ones. Recent advancements in commercially available software, such as Persyst, have significantly expanded and facilitated the use of qEEGs, marking the beginning of a new era in its application. As a result, there has been a notable increase in the practical, real-world utilization of qEEGs in recent years. This paper aims to provide an overview of the current applications of qEEGs in daily neurological emergencies and ICU practice, and some elementary principles of qEEGs using Persyst software in clinical settings. This article illustrates basic qEEG patterns encountered in critical care and adopts the new terminology proposed for spectrogram reporting.

摘要

脑电图（EEG）是特定患者群体诊断、管理和预后评估的基础工具。脑电图具有显著优势，如高时间分辨率、实时皮质功能评估以及床边可用性。定量脑电图（qEEG）增加了以压缩方式处理长时间记录的可能性，使经验丰富的用户进行脑电图复查更高效，对新手也更友好。市售软件（如Persyst）的最新进展显著扩展并促进了qEEG的使用，标志着其应用新时代的开始。因此，近年来qEEG在实际临床中的应用显著增加。本文旨在概述qEEG在日常神经急症和重症监护病房（ICU）实践中的当前应用，以及在临床环境中使用Persyst软件进行qEEG分析的一些基本原理。本文阐述了危重症护理中遇到的基本qEEG模式，并采用了频谱图报告的新术语。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/452f0c781c02/brainsci-14-00939-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/d61d0b95fadf/brainsci-14-00939-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/e1f42eebf03e/brainsci-14-00939-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/3a6742c48d69/brainsci-14-00939-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/a8ea49264804/brainsci-14-00939-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/5c2db8a9c30a/brainsci-14-00939-g006a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/ffd22b98e4c6/brainsci-14-00939-g007a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/6db1bc60ccc5/brainsci-14-00939-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/603732a75166/brainsci-14-00939-g009a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/d4316c2ce793/brainsci-14-00939-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/452f0c781c02/brainsci-14-00939-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/d61d0b95fadf/brainsci-14-00939-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/07e0a4b4fc74/brainsci-14-00939-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/e1f42eebf03e/brainsci-14-00939-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/3a6742c48d69/brainsci-14-00939-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/a8ea49264804/brainsci-14-00939-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/5c2db8a9c30a/brainsci-14-00939-g006a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/ffd22b98e4c6/brainsci-14-00939-g007a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/6db1bc60ccc5/brainsci-14-00939-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/603732a75166/brainsci-14-00939-g009a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/d4316c2ce793/brainsci-14-00939-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b5/11430096/452f0c781c02/brainsci-14-00939-g011.jpg

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本文引用的文献

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Diagnosing nonconvulsive status epilepticus: Defining electroencephalographic and clinical response to diagnostic intravenous antiseizure medication trials.诊断非惊厥性癫痫持续状态：确定脑电图和临床对诊断性静脉抗癫痫药物试验的反应。
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EEG Correlates of Spikes in Intracranial Pressure Caused by Transient Ventriculoperitoneal Shunt Malfunction.
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Non-Convulsive Status Epilepticus in Aneurysmal Subarachnoid Hemorrhage: A Prognostic Parameter.动脉瘤性蛛网膜下腔出血中的非惊厥性癫痫持续状态：一项预后参数。
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