[Continuous EEG for monitoring on the neurological intensive care unit. New applications and uses for therapeutic decision making]
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[Continuous EEG for monitoring on the neurological intensive care unit. New applications and uses for therapeutic decision making]. / Claassen, J; Bäumer, Tobias; Hansen, H C.
in: NERVENARZT, Jahrgang 71, Nr. 10, 10, 2000, S. 813-821.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Continuous EEG for monitoring on the neurological intensive care unit. New applications and uses for therapeutic decision making]
AU - Claassen, J
AU - Bäumer, Tobias
AU - Hansen, H C
PY - 2000
Y1 - 2000
N2 - Fifteen patients at our neurological intensive care unit were monitored with continuous EEG (cEEG: 10 channels EEG and ECG) for a total of 109 days. Primary indications for monitoring were nonconvulsive seizures in patients with altered consciousness (AC, n = 9) and control of therapy in generalized/partial status epilepticus (SE, n = 5). The cEEG findings influenced therapeutic management of patients in almost 50% of monitoring days (50/109), with decisive decisions (changes in medication) being made in 31/109 days. In 5/9 patients with AC, cEEG revealed findings that could not be demonstrated in previous EEG recordings. Identification of repetitive, nonepileptic, involuntary movements was guided by cEEG in four patients. Aside from the established application of cEEG monitoring in SE, the usefulness of clarifying the differential diagnosis in patients with AC was demonstrated particularly by the finding of nonconvulsive seizures in three patients. In two of these, intermittent EEG recordings did not demonstrate the seizures.
AB - Fifteen patients at our neurological intensive care unit were monitored with continuous EEG (cEEG: 10 channels EEG and ECG) for a total of 109 days. Primary indications for monitoring were nonconvulsive seizures in patients with altered consciousness (AC, n = 9) and control of therapy in generalized/partial status epilepticus (SE, n = 5). The cEEG findings influenced therapeutic management of patients in almost 50% of monitoring days (50/109), with decisive decisions (changes in medication) being made in 31/109 days. In 5/9 patients with AC, cEEG revealed findings that could not be demonstrated in previous EEG recordings. Identification of repetitive, nonepileptic, involuntary movements was guided by cEEG in four patients. Aside from the established application of cEEG monitoring in SE, the usefulness of clarifying the differential diagnosis in patients with AC was demonstrated particularly by the finding of nonconvulsive seizures in three patients. In two of these, intermittent EEG recordings did not demonstrate the seizures.
M3 - SCORING: Zeitschriftenaufsatz
VL - 71
SP - 813
EP - 821
JO - NERVENARZT
JF - NERVENARZT
SN - 0028-2804
IS - 10
M1 - 10
ER -
