[Continous EEG monitoring in patients with severe brain damage of indistinct value].

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  • Additional Information
    • Transliterated Title:
      Kontinuerlig EEG-­övervakning av IVA-patienter efter akut hjärnskada av oklart värde.
    • Source:
      Publisher: Sveriges Lakarforbund Country of Publication: Sweden NLM ID: 0027707 Publication Model: Electronic Cited Medium: Internet ISSN: 1652-7518 (Electronic) Linking ISSN: 00237205 NLM ISO Abbreviation: Lakartidningen Subsets: MEDLINE
    • Publication Information:
      Original Publication: Stockholm : Sveriges Lakarforbund
    • Subject Terms:
      Brain Injuries*/diagnosis ; Brain Injuries*/physiopathology ; Electroencephalography* ; Epilepsy*; Adult ; Brain ; Humans ; Monitoring, Physiologic ; Seizures
    • Abstract:
      In patients suffering from primary acute brain insults, up to 50 % risk epileptical seizures, with deteriorated neurological outcome and raised mortality rate. Continuous EEG registration (cEEG) is proposed but the evidence is unclear. A structured search in Pubmed resulted in 16 observational studies including 943 adult patients suffering from traumatic or cerebrovascular brain insults observed with cEEG. The presentation of definitions, variables and results was remarkably disparate. The evidence regarding detection of epileptic activity as well as correlation with mortality is very low. Disturbed sleeping patterns  correlated with deteriorated neurological functional outcome, but the therapeutic implication is unclear. The value of cEEG in adult patients suffering from primary brain insults is indistinct with a very low evidence grade . Further prospective and standardized studies are needed.
    • Publication Date:
      Date Created: 20200917 Date Completed: 20201023 Latest Revision: 20201023
    • Publication Date:
      20240628
    • Accession Number:
      32940903