Quantitative EEG in Neonatal Seizures

While continuous EEG (cEEG) remains the ideal method of monitoring for seizures in neonates, quantitative EEG (qEEG) trends are often used. In particular, amplitude-integrated EEG (aEEG) is increasingly popular and can be a helpful complementary tool to cEEG monitoring. In situations in which cEEG i...

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Bibliographic Details
Published inContinuous EEG Monitoring pp. 215 - 230
Main Authors Knowles, Juliet K., Wusthoff, Courtney J.
Format Book Chapter
LanguageEnglish
Published Cham Springer International Publishing
Subjects
Activity Band
Hypoxic Ischemic Encephalopathy
Neonatal Seizure
Rapid Review
Seizure Detection
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Summary:While continuous EEG (cEEG) remains the ideal method of monitoring for seizures in neonates, quantitative EEG (qEEG) trends are often used. In particular, amplitude-integrated EEG (aEEG) is increasingly popular and can be a helpful complementary tool to cEEG monitoring. In situations in which cEEG is not practical, aEEG may be used as a stand-alone method of neuromonitoring. Alternately, aEEG may be used in conjunction with cEEG to allow bedside caregivers in the neonatal unit to monitor EEG trends in real time or to facilitate rapid review of neonatal cEEG by a neurophysiologist. Understanding the fundamentals of how aEEG is recorded and displayed helps clinicians accurately interpret background patterns and identify seizures. Specific factors can impact accuracy of aEEG for seizure detection; modification of these factors can improve sensitivity and specificity. Awareness of limitations of aEEG facilitates appropriate clinical use.
ISBN:9783319312286
3319312286
DOI:10.1007/978-3-319-31230-9_13