Abstract
Electroencephalography (EEG) is the standard diagnostic tool when there is clinical suspicion of epileptic seizures, in particular non-convulsive seizures (NCS), which most often can only be diagnosed by EEG. By the use of continuous EEG monitoring (cEEG) performed over one to several days, it has been found that 11–18% of TBI patients had NCSs and 8% non-convulsive status epilepticus (NCSE) (Claassen et al. 2004; Vespa 2005). Prolonged seizure activity may be harmful by causing secondary brain damage. The aim of cEEG is to diagnose these subclinical seizures and to guide the clinician in the antiepileptic treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Annegers JF, Grabow JD, Groover RV, Laws ER Jr, Elveback LR, Kurland LT (1980) Seizures after head trauma: a population study. Neurology 30:683–689
Bergsneider M, Hovda DA, Shalmon E, Kelly DF, Vespa PM, Martin NA, Phelps ME, McArthur DL, Caron MJ, Kraus JF, Becker DP (1997) Cerebral hyperglycolysis following severe traumatic brain injury in humans: a positron emission tomography study. J Neurosurg 86:241–251
Claassen J, Mayer SA, Kowalski RG, Emerson RG, Hirsch LJ (2004) Detection of electrographic seizures with continuous EEG monitoring in critically ill patients. Neurology 62:1743–1748
DeGiorgio CM, Tomiyasu U, Gott PS, Treiman DM (1992) Hippocampal pyramidal cell loss in human status epilepticus. Epilepsia 33:23–27
DeGiorgio CM, Gott PS, Rabinowicz AL, Heck CN, Smith TD, Correale JD (1996) Neuron-specific enolase, a marker of acute neuronal injury, is increased in complex partial status epilepticus. Epilepsia 37:606–609
Friedman D, Claassen J, Hirsch LJ (2009) Continuous electroencephalogram monitoring in the intensive care unit. Anesth Analg 109:506–523
Jette N, Claassen J, Emerson RG, Hirsch LJ (2006) Frequency and predictors of nonconvulsive seizures during continuous electroencephalographic monitoring in critically ill children. Arch Neurol 63:1750–1755
Krsek P, Mikulecká A, Druga R, Kubová H, Hlinák Z, Suchomelová L, Mares P (2004) Long-term behavioral and morphological consequences of nonconvulsive status epilepticus in rats. Epilepsy Behav 5:180–191
Lee ST, Lui TN, Wong CW, Yeh YS, Tzaan WC (1995) Early seizures after moderate closed head injury. Acta Neurochir (Wien) 137:151–154
Litt B, Wityk RJ, Hertz SH, Mullen PD, Weiss H, Ryan DD, Henry TR (1998) Nonconvulsive status epilepticus in the critically ill elderly. Epilepsia 39:1194–1202
Lowenstein DH, Alldredge BK (1993) Status epilepticus at an urban public hospital in the 1980s. Neurology 43:483–488
Meldrum BS, Vigouroux RA, Brierley JB (1973) Systemic factors and epileptic brain damage. Prolonged seizures in paralyzed, artificially ventilated baboons. Arch Neurol 29:82–87
Sutter R, Fuhr P, Grize L, Marsch S, Rüegg S (2011) Continuous video-EEG monitoring increases detection rate of nonconvulsive status epilepticus in the ICU. Epilepsia 52:453–457
Temkin NR, Dikmen SS, Wilensky AJ, Keihm J, Chabal S, Winn HR (1990) A randomized, double-blind study of phenytoin for the prevention of post-traumatic seizures. N Engl J Med 323:497–502
Towne AR, Pellock JM, Ko D, DeLorenzo RJ (1994) Determinants of mortality in status epilepticus. Epilepsia 35:27–34
Vespa P (2005) Continuous EEG monitoring for the detection of seizures in traumatic brain injury, infarction, and intracerebral hemorrhage: “to detect and protect”. J Clin Neurophysiol 22:99–106
Vespa PM, Miller C, McArthur D, Eliseo M, Etchepare M, Hirt D, Glenn TC, Martin N, Hovda D (2007) Nonconvulsive electrographic seizures after traumatic brain injury result in a delayed, prolonged increase in intracranial pressure and metabolic crisis. Crit Care Med 35:2830–2836
Wang HC, Chang WN, Chang HW, Ho JT, Yang TM, Lin WC, Chuang YC, Lu CH (2008) Factors predictive of outcome in posttraumatic seizures. J Trauma 64:883–888
Young GB, Jordan KG, Doig GS (1996) An assessment of nonconvulsive seizures in the intensive care unit using continuous EEG monitoring: an investigation of variables associated with mortality. Neurology 47:83–89
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Johnsen, B. (2012). Clinical Neurophysiology: Continous EEG Monitoring. In: Sundstrom, T., Grände, PO., Juul, N., Kock-Jensen, C., Romner, B., Wester, K. (eds) Management of Severe Traumatic Brain Injury. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28126-6_39
Download citation
DOI: https://doi.org/10.1007/978-3-642-28126-6_39
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-28125-9
Online ISBN: 978-3-642-28126-6
eBook Packages: MedicineMedicine (R0)