Elektroencefalografi ved diagnostik af nonkonvulsiv status epilepticus hos kritisk syge patienter

TY - JOUR

T1 - Elektroencefalografi ved diagnostik af nonkonvulsiv status epilepticus hos kritisk syge patienter

AU - Engedal, Thorbjørn S

AU - Johnsen, Birger

AU - Sidaros, Anette

AU - Fabricius, Martin

AU - Christensen, Jakob

AU - Beniczky, Sándor

PY - 2022/1/17

Y1 - 2022/1/17

N2 - Critically ill patients are at high risk of non-convulsive status epilepticus (NCSE). As clinical signs of NCSE are subtle and unspecific, EEG is necessary to make the diagnosis. This is a review of the terminology for EEG reporting and the criteria for NCSE in critically ill patients. We discuss the newly proposed ictal-interictal continuum, and how caution is needed when assessing EEG criteria in order to avoid both over- and undertreatment. Finally, we discuss how specific EEG findings, in combination with clinical information, can help infer treatment decision and need for continuous EEG monitoring.

AB - Critically ill patients are at high risk of non-convulsive status epilepticus (NCSE). As clinical signs of NCSE are subtle and unspecific, EEG is necessary to make the diagnosis. This is a review of the terminology for EEG reporting and the criteria for NCSE in critically ill patients. We discuss the newly proposed ictal-interictal continuum, and how caution is needed when assessing EEG criteria in order to avoid both over- and undertreatment. Finally, we discuss how specific EEG findings, in combination with clinical information, can help infer treatment decision and need for continuous EEG monitoring.

KW - Critical Illness

KW - Electroencephalography

KW - Humans

KW - Monitoring, Physiologic

KW - Status Epilepticus/diagnosis

UR - http://www.scopus.com/inward/record.url?scp=85123745211&partnerID=8YFLogxK

M3 - Review

C2 - 35060475

SN - 0041-5782

VL - 184

JO - Ugeskrift for Læger

JF - Ugeskrift for Læger

IS - 3

M1 - V07210570

ER -