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Continuous EEG Monitoring in the Intensive Care Unit

  • Epilepsy (CW Bazil, Section Editor)
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Abstract

In the past 15 years, the increased availability and use of continuous electroencephalography (cEEG) in critically ill patients has substantially changed our understanding of the injured brain. We have become increasingly aware that electrographic seizures in this population may have only subtle or no clinical signs and that cEEG greatly increases the likelihood of detecting these seizures. This review highlights the rationale behind using cEEG rather than routine EEG for detection of nonconvulsive seizures and nonconvulsive status epilepticus in critically ill patients and defines which patients are at greatest risk. It also describes other applications of cEEG in the intensive care unit and how it may play an important role in monitoring brain function.

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Acknowledgments

The authors would like to thank Suzette LaRoche, MD, and all the contributors to the American Clinical Neurophysiology Society ICU EEG course of February, 2012, whose excellent talks and overview helped create the outline for this review.

Disclosure

Conflicts of interest: J.D. Kennedy: none; E.E. Gerard: has received payment for lectures including service on speakers bureaus from the American Clinical Neurophysiology Society.

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  1. Comprehensive Epilepsy Center, Department of Neurology, Northwestern University Feinberg School of Medicine, 675 N. St. Clair, Galter 20-100, Chicago, IL, 60611, USA

    Jeffrey D. Kennedy & Elizabeth E. Gerard

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  1. Jeffrey D. Kennedy
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  2. Elizabeth E. Gerard
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Correspondence to Elizabeth E. Gerard.

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Kennedy, J.D., Gerard, E.E. Continuous EEG Monitoring in the Intensive Care Unit. Curr Neurol Neurosci Rep 12, 419–428 (2012). https://doi.org/10.1007/s11910-012-0289-0

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