рџ‘‰ When to order continuous+/-video EEG (cEEG/cvEEG) monitoring

Thus, understanding the basics of these reports is important for all clinicians caring for acutely ill patients. Plus, as the diagnostic yield of EEG is highest when in close proximity to a witnessed event, EEG is a valuable tool in the ED ( PMID: 21511976). In one study, for every one status epilepticus patient admitted to the neuro-ICU, three more were being cared for in the medical ICU ( PMID: 23589183). And, interestingly, most seizing patients are taken care of in non-NeuroICU settings. cEEG is one of the only continuous non-invasive modalities that can provide a lot of detail about the neurologic function in disease and health. Many reads will come with a little вЂњclinical significanceвЂќ summary, but most epileptologists arenвЂ™t the ones caring for the ICU patient, you are. Reactivity was absent.Д®EG reports are filled with important information about the health of a patientвЂ™s brain, which can be used to direct treatment and prognosticate. These meet criteria for ictal-interictal continuum (IIC), and at times appear more on the ictal end of IIC. 4 hours into the recording, interburst intervals shorten, and background becomes discontinuous theta/delta with continuous generalized epileptiform spike wave discharges, 1-3 Hz still with overriding fast and rhythmicity. Burst suppression pattern at beginning of epoch with 2-4 seconds of burst intermixed with generalized epileptiform spike wave discharges up to 1-2 Hz and 2-8 seconds periods of suppression.Continuous generalized and multifocal discharges and frequent polyspikes, occasionally with overriding fast activity (+F) and rarely with rhythmicity (+R) (within bursts).Given a concern for non-convulsive status a continuous EEG (cEEG) is ordered. She is immediately intubated for inability to protect her airway. A 64 yo woman with history of COVID-19 and recent knee surgery presents to the ED obtunded.

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