Elektroencefalografi ved diagnostik af nonkonvulsiv status epilepticus hos kritisk syge patienter

Translated title of the contribution: EEG diagnosticsof non-convulsive status epilepticus in critically ill patients

Thorbjørn S Engedal, Birger Johnsen, Anette Sidaros, Martin Fabricius, Jakob Christensen, Sándor Beniczky

Abstract

Critically ill patients are at high risk of non-convulsive status epilepticus (NCSE). As clinical signs of NCSE are subtle and unspecific, EEG is necessary to make the diagnosis. This is a review of the terminology for EEG reporting and the criteria for NCSE in critically ill patients. We discuss the newly proposed ictal-interictal continuum, and how caution is needed when assessing EEG criteria in order to avoid both over- and undertreatment. Finally, we discuss how specific EEG findings, in combination with clinical information, can help infer treatment decision and need for continuous EEG monitoring.

Translated title of the contributionEEG diagnosticsof non-convulsive status epilepticus in critically ill patients
Original languageDanish
Article numberV07210570
JournalUgeskrift for Laeger
Volume184
Issue number3
ISSN0041-5782
Publication statusPublished - 17 Jan 2022

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