TY - JOUR
T1 - Elektroencefalografi ved diagnostik af nonkonvulsiv status epilepticus hos kritisk syge patienter
AU - Engedal, Thorbjørn S
AU - Johnsen, Birger
AU - Sidaros, Anette
AU - Fabricius, Martin
AU - Christensen, Jakob
AU - Beniczky, Sándor
PY - 2022/1/17
Y1 - 2022/1/17
N2 - 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.
AB - 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.
KW - Critical Illness
KW - Electroencephalography
KW - Humans
KW - Monitoring, Physiologic
KW - Status Epilepticus/diagnosis
UR - https://ugeskriftet.dk/videnskab/elektroencefalografi-ved-diagnostik-af-nonkonvulsiv-status-epilepticus-hos-kritisk-syge
UR - http://www.scopus.com/inward/record.url?scp=85123745211&partnerID=8YFLogxK
M3 - Review
C2 - 35060475
SN - 0041-5782
VL - 184
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
IS - 3
M1 - V07210570
ER -