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Epilepsy and Seizures: OR and ICU Applications of EEG

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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Abstract

The electroencephalogram (EEG) is useful for several types of monitoring in the operating room and in the intensive care unit. The EEG is the product of the electrical activity in synapses of the cortical pyramidal cells. As such, its measurement on the scalp, from electrodes applied directly on the surface of the brain, and stereotaxic depth electrodes allows insight into the synaptic activity. EEG may be recorded using a variety of montages and reported both as EEG waveforms, quantitative data, and by various processing methods. The unique ability to record epileptic seizure activity has led to several applications which will be reviewed here.

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    Key references marked with asterisks.

References

Key references marked with asterisks.

  1. *Hirsch LJ. Continuous EEG, monitoring in the intensive care unit: an overview. J Clin Neurophysiol. 2004;21(5):332–40.

    Google Scholar 

  2. Walker LE, Mirza N, Yip VL, Marson AG, Pirmohamed M. Personalized medicine approaches in epilepsy. J Intern Med. 2015;277(2):218–34.

    Article  CAS  PubMed  Google Scholar 

  3. *Chang BS, Lowenstein DH. Epilepsy. N Engl J Med. 2003;349(13):1257–66.

    Google Scholar 

  4. Jette N, Reid AY, Wiebe S. Surgical management of epilepsy. CMAJ. 2014;186(13):997–1004.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Benbadis SR, LaFrance Jr WC, Papandonatos GD, Korabathina K, Lin K, Kraemer HC, et al. Interrater reliability of EEG-video monitoring. Neurology. 2009;73(11):843–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Yu AH, Li KC, Piao CF, Li HL. Application of functional MRI in epilepsy. Chin Med J (Engl). 2005;118(12):1022–7.

    Google Scholar 

  7. Kesavadas C, Thomas B, Sujesh S, Ashalata R, Abraham M, Gupta AK, et al. Real-time functional MR imaging (fMRI) for presurgical evaluation of paediatric epilepsy. Pediatr Radiol. 2007;37(10):964–74.

    Article  PubMed  Google Scholar 

  8. *Chui J, Manninen P, Valiante T, Venkatraghavan L. The anesthetic considerations of intraoperative electrocorticography during epilepsy surgery. Anesth Analg. 2013;117(2):479–86.

    Google Scholar 

  9. *Sala F, Manganotti P, Grossauer S, Tramontanto V, Mazza C, Gerosa M. Intraoperative neurophysiology of the motor system in children: a tailored approach. Childs Nerv Syst. 2010;26(4):473–90.

    Google Scholar 

  10. Tharin S, Golby A. Functional brain mapping and its applications to neurosurgery. Neurosurgery. 2007;60(4 Suppl 2):185–201; discussion 202.

    Google Scholar 

  11. Sartorius CJ, Wright G. Intraoperative brain mapping in a community setting—technical considerations. Surg Neurol. 1997;47(4):380–8.

    Article  CAS  PubMed  Google Scholar 

  12. Duffau H. [Peroperative functional mapping using direct electrical stimulations. Methodological considerations]. Neurochirurgie. 2004;50(4):474–83.

    Article  CAS  PubMed  Google Scholar 

  13. Cedzich C, Pechstein U, Schramm J, Schafer S. Electrophysiological considerations regarding electrical stimulation of motor cortex and brain stem in humans. Neurosurgery. 1998;42(3):527–32.

    Article  CAS  PubMed  Google Scholar 

  14. Greenlee JD, Oya H, Kawasaki H, Volkov IO, Kaufman OP, Kovach C, et al. A functional connection between inferior frontal gyrus and orofacial motor cortex in human. J Neurophysiol. 2004;92(2):1153–64.

    Article  PubMed  Google Scholar 

  15. Matsumoto R, Nair DR, LaPresto E, Najm I, Bingaman W, Shibasaki H, et al. Functional connectivity in the human language system: a cortico-cortical evoked potential study. Brain. 2004;127(Pt 10):2316–30.

    Article  PubMed  Google Scholar 

  16. Gonzalez-Martinez J, Vadera S, Mullin J, Enatsu R, Alexopoulos AV, Patwardhan R, et al. Robot-assisted stereotactic laser ablation in medically intractable epilepsy: operative technique. Neurosurgery. 2014;10 Suppl 2:167–72; discussion 72–3.

    Google Scholar 

  17. Bromfield EB. EEG in brain tumors: drugs, diseases and procedures Medscape references; 2013.

    Google Scholar 

  18. *Friedman D, Claassen J, Hirsch LJ. Continuous electroencephalogram monitoring in the intensive care unit. Anesth Analg. 2009;109(2):506–23.

    Google Scholar 

  19. Fishman O, Legatt AD. PLEDs following control of seizures and at the end of life. Clin EEG Neurosci. 2010;41(1):11–4.

    Article  PubMed  Google Scholar 

  20. Meierkord H, Boon P, Engelsen B, Gocke K, Shorvon S, Tinuper P, et al. EFNS guideline on the management of status epilepticus. Eur J Neurol. 2006;13(5):445–50.

    Article  CAS  PubMed  Google Scholar 

  21. Swisher CB, Shah D, Sinha SR, Husain AM. Baseline EEG pattern on continuous ICU EEG monitoring and incidence of seizures. J Clin Neurophysiol. 2015;32(2):147–51.

    Article  PubMed  Google Scholar 

  22. Novy J, Logroscino G, Rossetti AO. Refractory status epilepticus: a prospective observational study. Epilepsia. 2010;51(2):251–6.

    Article  PubMed  Google Scholar 

  23. Jones TH, Morawetz RB, Crowell RM, Marcoux FW, FitzGibbon SJ, DeGirolami U, et al. Thresholds of focal cerebral ischemia in awake monkeys. J Neurosurg. 1981;54(6):773–82.

    Article  CAS  PubMed  Google Scholar 

  24. Frontera JA, Claassen J, Schmidt JM, Wartenberg KE, Temes R, Connolly Jr ES, et al. Prediction of symptomatic vasospasm after subarachnoid hemorrhage: the modified fisher scale. Neurosurgery. 2006;59(1):21–7; discussion 27.

    Google Scholar 

  25. Vespa PM, Nenov V, Nuwer MR. Continuous EEG monitoring in the intensive care unit: early findings and clinical efficacy. J Clin Neurophysiol. 1999;16(1):1–13.

    Article  CAS  PubMed  Google Scholar 

  26. Lauritzen M, Dreier JP, Fabricius M, Hartings JA, Graf R, Strong AJ. Clinical relevance of cortical spreading depression in neurological disorders: migraine, malignant stroke, subarachnoid and intracranial hemorrhage, and traumatic brain injury. J Cereb Blood Flow Metab. 2011;31(1):17–35.

    Article  PubMed  Google Scholar 

  27. Dreier JP, Major S, Manning A, Woitzik J, Drenckhahn C, Steinbrink J, et al. Cortical spreading ischaemia is a novel process involved in ischaemic damage in patients with aneurysmal subarachnoid haemorrhage. Brain. 2009;132(Pt 7):1866–81.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Warner DS. Anesthetics provide limited but real protection against acute brain injury. J Neurosurg Anesthesiol. 2004;16(4):303–7.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Neurology, SUNY Downstate Medical Center, Brooklyn, NY, USA

    Sabrina G. Galloway B.S,REEG/EPT,CNIM,CLTM,FASET

  2. Neurodiagnostic Operations, Neuromonitoring Technologies, Inc Glenwood, MD, USA

    Sabrina G. Galloway B.S,REEG/EPT,CNIM,CLTM,FASET

  3. Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, 80045, USA

    Tod B. Sloan M.D., M.B.A., Ph.D.

Authors
  1. Sabrina G. Galloway B.S,REEG/EPT,CNIM,CLTM,FASET
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  2. Tod B. Sloan M.D., M.B.A., Ph.D.
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Corresponding author

Correspondence to Tod B. Sloan M.D., M.B.A., Ph.D. .

Editor information

Editors and Affiliations

  1. Departments of Anesthesiology, Neurological Surgery and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Antoun Koht

  2. Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA

    Tod B. Sloan

  3. Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA

    J. Richard Toleikis

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Galloway, S.G., Sloan, T.B. (2017). Epilepsy and Seizures: OR and ICU Applications of EEG. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Cham. https://doi.org/10.1007/978-3-319-46542-5_45

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  • DOI: https://doi.org/10.1007/978-3-319-46542-5_45

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46540-1

  • Online ISBN: 978-3-319-46542-5

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