Review article

Diagnostic possibilities of video-electroencephalography and amplitude-integrated electroencephalography during early life

David Neubauer orcid.org/0000-0002-4564-5318 ; Univerzitetni klinični center Ljubljana, Pediatrična klinika, Klinični oddelek za otroško, mladostniško in razvojno nevrologijo, Ljubljana, Slovenija
Damjan Osredkar orcid.org/0000-0002-2188-420X ; Univerzitetni klinični center Ljubljana, Pediatrična klinika, Klinični oddelek za otroško, mladostniško in razvojno nevrologijo, Ljubljana, Slovenija
Darja Paro-Panjan ; Univerzitetni klinični center Ljubljana, Pediatrična klinika, Klinični oddelek za neonatologijo, Ljubljana, Slovenija
Metka Derganc ; Univerzitetni klinični center Ljubljana, Klinični oddelek za otroško kirurgijo in intenzivno terapijo, Ljubljana, Slovenija

Abstract

The main aim in managing sick newborns is to prevent or at least to minimize brain injury and to establish optimal neuro-developmental outcome. Electroencephalography (EEG) which reflects brain electrical activity, is regarded as the most reliable tool in recognition of possible central nervous system dysfunction (e. g. seizures) and in predicting outcome. The best surveillance of a neonate and young infant can be achieved by continuous functional monitoring, but long term EEG has limited availability in many centres and requires interpretation by a skilled paediatric electroencepahlographist. Therefore, amplitude-integrated EEG (aEEG) is a technique for simplified EEG monitoring which has an increasing clinical potential in neonatal intensive care. The article presents literature data as well as our own experience with diagnostic possibilities of both, standard (digitalized and video-assisted) EEG as well as aEEG and stresses the importance of using new generation machines that incorporate, along with aEEG signal, also a display of raw EEG for better seizure detection.

Keywords

ELECTROENCEPHALOGRAPHY – methods; VIDEO RECORDING; INTENSIVE CARE, NEONATAL – methods; SEIZURES – diagnosis; BRAIN DISEASES – diagnosis; HYPOXIA-ISCHEMIA, BRAIN - diagnosis

Hrčak ID:

29596

URI

https://hrcak.srce.hr/29596

Publication date:

18.11.2008.

Article data in other languages: croatian

Visits: 3.108 *