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Part I - Introduction

Published online by Cambridge University Press:  22 February 2024

Neville M. Jadeja
Affiliation:
University of Massachusetts Medical School
Kyle C. Rossi
Affiliation:
University of Massachusetts Medical School
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Critical Care EEG Basics
Rapid Bedside EEG Reading for Acute Care Providers
, pp. 1 - 122
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Eggenberger, E. Prion disease. Neurologic Clinics. 2007 Aug 1;25(3):833–42.Google Scholar
Acharya, JN, Hani, AJ, Cheek, J, Thirumala, P, Tsuchida, TN. American Clinical Neurophysiology Society Guideline 2: Guidelines for Standard Electrode Position Nomenclature. The Neurodiagnostic Journal. 2016 Oct 1;56(4):245–52.Google Scholar
Acharya, JN, Hani, AJ, Thirumala, P, Tsuchida, TN. American Clinical Neurophysiology Society Guideline 3: A Proposal for Standard Montages to Be Used in Clinical EEG. The Neurodiagnostic Journal. 2016 Oct 1;56(4):253–60.Google ScholarPubMed
Tatum, WO IV, Husain, AM, Benbadis, SR, Kaplan, PW. Normal adult EEG and patterns of uncertain significance. Journal of Clinical Neurophysiology. 2006 Jun 1;23(3):194207.CrossRefGoogle ScholarPubMed

References

Towne, AR, Waterhouse, EJ, Boggs, JG, et al. Prevalence of nonconvulsive status epilepticus in comatose patients. Neurology. 2000 Jan 25;54(2):340.Google Scholar
Trinka, E, Cock, H, Hesdorffer, D, et al. A definition and classification of status epilepticus – Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015 Oct;56(10):1515–23.Google Scholar
Betjemann, JP, Lowenstein, DH. Status epilepticus in adults. The Lancet Neurology. 2015 Jun 1;14(6):615–24.CrossRefGoogle ScholarPubMed
Young, BG, Jordan, KG, Doig, GS. An assessment of nonconvulsive seizures in the intensive care unit using continuous EEG monitoring: An investigation of variables associated with mortality. Neurology. 1996 Jul 1;47(1):83–9.Google Scholar
Punia, V, Bena, J, Krishnan, B, Newey, C, Hantus, S. New onset epilepsy among patients with periodic discharges on continuous electroencephalographic monitoring. Epilepsia. 2018 Aug;59(8):1612–20.Google Scholar
Herman, ST, Abend, NS, Bleck, TP, et al. Consensus statement on continuous EEG in critically ill adults and children, Part I: Indications. Journal of Clinical Neurophysiology. 2015 Apr;32(2):87.Google Scholar
Claassen, J, Taccone, FS, Horn, P, Holtkamp, M, Stocchetti, N, Oddo, M. Recommendations on the use of EEG monitoring in critically ill patients: Consensus statement from the neurointensive care section of the ESICM. Intensive Care Medicine. 2013 Aug;39(8):1337–51.Google Scholar
DeLorenzo, RJ, Waterhouse, EJ, Towne, AR, et al. Persistent nonconvulsive status epilepticus after the control of convulsive status epilepticus. Epilepsia. 1998 Aug;39(8):833–40.Google Scholar
American Clinical Neurophysiology Society. Guideline 3: Minimum Technical Standards for EEG Recording in Suspected Cerebral Death. Journal of Clinical Neurophysiology. 2006 Apr;23(2):97104.CrossRefGoogle Scholar
White, DM, Van Cott, CA. EEG artifacts in the intensive care unit setting. American Journal of Electroneurodiagnostic Technology. 2010 Mar 1;50(1):825.CrossRefGoogle ScholarPubMed
Claassen, J, Mayer, SA, Kowalski, RG, Emerson, RG, Hirsch, LJ. Detection of electrographic seizures with continuous EEG monitoring in critically ill patients. Neurology. 2004 May 25;62(10):1743–8.Google Scholar
Gaspard, N, Manganas, L, Rampal, N, Petroff, OA, Hirsch, LJ. Similarity of lateralized rhythmic delta activity to periodic lateralized epileptiform discharges in critically ill patients. JAMA Neurology. 2013 Oct 1;70(10):1288–95.Google Scholar
Crepeau, AZ, Fugate, JE, Mandrekar, J, et al. Value analysis of continuous EEG in patients during therapeutic hypothermia after cardiac arrest. Resuscitation. 2014 Jun 1;85(6):785–9.Google Scholar
Lybeck, A, Cronberg, T, Borgquist, O, et al. Bedside interpretation of simplified continuous EEG after cardiac arrest. Acta Anaesthesiologica Scandinavica. 2020 Jan;64(1):8592.Google Scholar
Legriel, S, Jacq, G, Lalloz, A, et al. Teaching important basic EEG patterns of bedside electroencephalography to critical care staffs: A prospective multicenter study. Neurocritical Care. 2021 Feb;34:144–53.Google Scholar

References

Hirsch, LJ, Fong, MW, Leitinger, M, et al. American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2021 version. Journal of Clinical Neurophysiology. 2021 Jan 1;38(1):129.CrossRefGoogle ScholarPubMed
Admiraal, MM, Van Rootselaar, AF, Horn, J. International consensus on EEG reactivity testing after cardiac arrest: Towards standardization. Resuscitation. 2018 Oct 1;131:3641.Google Scholar
Azabou, E, Navarro, V, Kubis, N, et al. Value and mechanisms of EEG reactivity in the prognosis of patients with impaired consciousness: A systematic review. Critical Care. 2018 Dec;22(1):15.CrossRefGoogle ScholarPubMed
Benghanem, S, Paul, M, Charpentier, J, et al. Value of EEG reactivity for prediction of neurologic outcome after cardiac arrest: Insights from the Parisian registry. Resuscitation. 2019 Sep 1;142:168–74.Google Scholar
Admiraal, MM, van Rootselaar, AF, Hofmeijer, J, et al. Electroencephalographic reactivity as predictor of neurological outcome in postanoxic coma: A multicenter prospective cohort study. Annals of Neurology. 2019 Jul;86(1):1727.Google Scholar
Zafar, S, Doria, J, Karceski, S. Should we standardize the EEG classification of mild, moderate, and severe cerebral dysfunction? Epilepsy & Behavior: E&B. 2020 Nov 1;112:107332.Google Scholar

References

Newey, CR, Hornik, A, Guerch, M, Veripuram, A, Yerram, S, Ardelt, A. The benefit of neuromuscular blockade in patients with postanoxic myoclonus otherwise obscuring continuous electroencephalography (CEEG). Critical Care Research and Practice. 2017 Feb 6;2017.CrossRefGoogle ScholarPubMed
White, DM, Van Cott, CA. EEG artifacts in the intensive care unit setting. American Journal of Electroneurodiagnostic Technology. 2010 Mar 1;50(1):825.Google Scholar
Blume, WT. Drug effects on EEG. Journal of Clinical Neurophysiology. 2006 Aug 1;23(4):306–11.Google Scholar
Bhattacharyya, S, Darby, RR, Raibagkar, P, Castro, LN, Berkowitz, AL. Antibiotic-associated encephalopathy. Neurology. 2016 Mar 8;86(10):963–71.Google Scholar
Hughes, NJ, Lyons, JB. Prolonged myoclonus and meningism following propofol. Canadian Journal of Anaesthesia. 1995 Aug 1;42(8):744–6.Google Scholar
Purdon, PL, Sampson, A, Pavone, KJ, Brown, EN. Clinical electroencephalography for anesthesiologists: Part I: Background and basic signatures. Anesthesiology. 2015 Oct;123(4):937–60.Google Scholar

References

Fisher, RS, van Emde Boas, W, Blume, W, et al. Epileptic seizures and epilepsy: Definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. 2005 Apr;46(4):470–2.Google Scholar
Trinka, E, Kälviäinen, R. 25 years of advances in the definition, classification and treatment of status epilepticus. Seizure. 2017 Jan;44:6573.CrossRefGoogle ScholarPubMed
Hirsch, LJ, Fong, MWK, Leitinger, M, et al. American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2021 version. Journal of Clinical Neurophysiology. 2021 Jan 1;38(1):129.Google Scholar
Casale, MJ, Marcuse, LV, Young, JJ, et al. The sensitivity of scalp EEG at detecting seizures – a simultaneous scalp and stereo EEG study. Journal of Clinical Neurophysiology. 2022 Jan 1;39(1):7884.Google Scholar
Yoo, JY. BIRDs (brief potentially ictal rhythmic discharges) watching during EEG monitoring. Frontiers in Neurology. 2022 Aug 23;13:966480.Google Scholar
Yoo, JY, Jetté, N, Kwon, CS, et al. Brief potentially ictal rhythmic discharges and paroxysmal fast activity as scalp electroencephalographic biomarkers of seizure activity and seizure onset zone. Epilepsia. 2021 Mar;62(3):742–51.Google Scholar
Yoo, JY, Marcuse, LV, Fields, MC, et al. Brief potentially ictal rhythmic discharges [B(I)RDs] in noncritically ill adults. Journal of Clinical Neurophysiology. 2017 May;34(3):222–9.Google Scholar
Yoo, JY, Rampal, N, Petroff, OA, et al. Brief potentially ictal rhythmic discharges in critically ill adults. JAMA Neurology. 2014 Apr;71(4):454–62.Google Scholar

References

Hirsch, LJ, Fong, MWK, Leitinger, M, et al. American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2021 version. Journal of Clinical Neurophysiology. 2021 Jan 1;38(1):129.Google Scholar
Trinka, E, Cock, H, Hesdorffer, D, et al. A definition and classification of status epilepticus – Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015 Oct;56(10):1515–23.Google Scholar
Gaspard, N, Hirsch, LJ, LaRoche, SM, et al. Interrater agreement for Critical Care EEG Terminology. Epilepsia. 2014 Sep;55(9):1366–73.Google Scholar
Kaplan, PW, Sutter, R. Affair with triphasic waves – Their striking presence, mysterious significance, and cryptic origins: What are they? Journal of Clinical Neurophysiology. 2015 Oct;32(5):401–5.CrossRefGoogle Scholar
Foreman, B, Mahulikar, A, Tadi, P, et al. Generalized periodic discharges and ‘triphasic waves’: A blinded evaluation of inter-rater agreement and clinical significance. Clinical Neurophysiology. 2016 Feb;127(2):1073–80.Google Scholar
Chong, DJ, Hirsch, LJ. Which EEG patterns warrant treatment in the critically ill? Reviewing the evidence for treatment of periodic epileptiform discharges and related patterns. Journal of Clinical Neurophysiology. 2005 Apr;22(2):7991.Google Scholar
Rubinos, C, Reynolds, AS, Claassen, J. The ictal-interictal continuum: To treat or not to treat (and how)? Neurocritical Care. 2018 Aug;29(1):38.Google Scholar
Zafar, SF, Subramaniam, T, Osman, G, et al. Electrographic seizures and ictal-interictal continuum (IIC) patterns in critically ill patients. Epilepsy & Behavior. 2020 May;106:107037.Google Scholar

References

Herman, ST, Abend, NS, Bleck, TP, et al. Consensus statement on continuous EEG in critically ill adults and children, Part I: Indications. Journal of Clinical Neurophysiology. 2015 Apr;32(2):8795.Google Scholar
Sandroni, C, Natalini, D, Nolan, JP. Temperature control after cardiac arrest. Critical Care. 2022 Nov 24;26(1):361.Google Scholar
Hofmeijer, J, Tjepkema-Cloostermans, MC, van Putten, MJ. Burst-suppression with identical bursts: A distinct EEG pattern with poor outcome in postanoxic coma. Clinical Neurophysiology. 2014 May;125(5):947–54.Google Scholar
Ruijter, BJ, Keijzer, HM, Tjepkema-Cloostermans, MC, et al. Treating rhythmic and periodic EEG patterns in comatose survivors of cardiac arrest. New England Journal of Medicine. 2022 Feb 24;386(8):724–34.Google Scholar
Perera, K, Khan, S, Singh, S, et al. EEG patterns and outcomes after hypoxic brain injury: A systematic review and meta-analysis. Neurocritical Care. 2022 Feb;36(1):292301.Google Scholar
Sethi, NK, Westhall, E, Rossetti, AO, et al. Standardized EEG interpretation accurately predicts prognosis after cardiac arrest. Neurology. 2016 Oct 11;87(15):1631.Google Scholar
Sandroni, C, D’Arrigo, S, Cacciola, S, et al. Prediction of good neurological outcome in comatose survivors of cardiac arrest: A systematic review. Intensive Care Medicine. 2022 Apr;48(4):389413.Google Scholar
Bauer, G, Unterberger, I. Anoxic myoclonic status epilepticus. In Drislane, FW, Kaplan, PW (Eds.). Status Epilepticus: A Clinical Perspective. Second Edition. Springer Science+Business Media LLC, 2018.Google Scholar
Rossetti, AO. Should postanoxic status epilepticus be treated aggressively? – No! Journal of Clinical Neurophysiology. 2015 Dec;32(6):447–8.Google Scholar
Freund, B, Kaplan, PW. Differentiating Lance-Adams syndrome from other forms of postanoxic myoclonus. Annals of Neurology. 2016 Dec;80(6):956.Google Scholar
Stecker, MM, Sabau, D, Sullivan, L, et al. American Clinical Neurophysiology Society Guideline 6: Minimum Technical Standards for EEG Recording in Suspected Cerebral Death. Journal of Clinical Neurophysiology. 2016 Aug;33(4):324–7.CrossRefGoogle ScholarPubMed

References

Tong, S, Thankor, NV. Quantitative EEG Analysis Methods and Clinical Applications. Artech House, 2009.Google Scholar
Hwang, J, Cho, SM, Ritzl, EK. Recent applications of quantitative electroencephalography in adult intensive care units: A comprehensive review. Journal of Neurology. 2022 Dec;269(12):6290–309.CrossRefGoogle ScholarPubMed
Kaleem, S, Swisher, CB. Utility of quantitative EEG for seizure detection in adults. Journal of Clinical Neurophysiology. 2022 Mar 1;39(3):184–94.Google Scholar
Goenka, A, Boro, A, Yozawitz, E. Comparative sensitivity of quantitative EEG (QEEG) spectrograms for detecting seizure subtypes. Seizure. 2018 Feb;55:70–5.Google Scholar
Baang, HY, Chen, HY, Herman, AL, et al. The utility of quantitative EEG in detecting delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage. Journal of Clinical Neurophysiology. 2022 Mar 1;39(3):207–15.CrossRefGoogle ScholarPubMed

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