Neurophysiological Monitoring

Mohamed El-Dib*, Linda S. de Vries

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

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Abstract

EEG (electroencephalogram) is utilized to detect cortical cerebral electric activity. In neonates, both conventional EEG (cEEG) and a simplified form known as amplitude-integrated EEG (aEEG) hold significant value. Prolonged continuous EEG is recommended in high-risk scenarios and has been associated with improved seizure identification and outcomes. While aEEG aids in seizure detection, cEEG remains the gold standard for diagnosing seizures in neonates. aEEG is employed as a bedside tool for selecting infants with neonatal encephalopathy for therapeutic hypothermia, while both aEEG and cEEG are valuable for prognostication. Continuous EEG monitoring further improves seizure detection and outcome prediction for extremely preterm infants and critically ill infants. Utilization of neurophysiological monitoring in the NICU can be enhanced by the emerging automated analysis algorithms.

Original languageEnglish
Title of host publicationNeonatal Brain Injury
Subtitle of host publicationAn Illustrated Guide for Clinicians Counselling Parents and Caregivers
PublisherSpringer Nature
Pages261-280
Number of pages20
ISBN (Electronic)9783031559723
ISBN (Print)9783031559716
DOIs
Publication statusPublished - 1 Jan 2025

Keywords

  • aEEG
  • cEEG
  • EEG (electroencephalogram)
  • Encephalopathy
  • Seizures

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