Author/Editor     Rumpl, E
Title     The EEG in the intensive care unit. General remarks
Type     članek
Source     In: Stalberg EV, de Weerd AW, Zidar J, editors. ECCN 98. 9th European congress of clinical neurophysiology; 1998 Jun 4-7; Ljubljana. Bologna: Monduzzi editore,
Publication year     1998
Volume     str. 507-12
Language     eng
Abstract     The EEG is the electrophysiological method of the highest diagnostic value in neurological intensive care, if compared with other methods, such as evoked potentials. The EEG is also of high prognostic value and useful information can be obtained from a single record. Continuous EEG-monitoring using compressed spectral array (CSA) assesses the dominant frequencies, their distribution and their amplitude better than conventional EEG (Stone et al, 1988). In countrast CSA has difficulties to detect paroxysmal events, such as spikes, brief seizures, burstsuppression, PLEDs, triphasic waves and intermittent paroxysmal theta and delta waves (Jordan, 1993). The EEG is generally influenced by sedative drugs used in anaesthesia, showing an increase of fast activity at low, an increase of slow waves at hight doses, even reaching burstsuppression pattern in the case of barbiturate coma. CSA is an useful tool for monitoring the effect of therapy and for detection of deterioration of cerebral function caused by potentially treatable causes.
Descriptors     INTENSIVE CARE UNITS
COMA
BRAIN INJURIES
ELECTROENCEPHALOGRAPHY
CEREBRAL ANOXIA
ENCEPHALITIS