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Elektroencefalografi ved diagnostik af nonkonvulsiv status epilepticus hos kritisk syge patienter

Forfatter(e)

Thorbjørn S. Engedal1, Birger Johnsen1, Annette Sidaros2, Martin Fabricius2, Jakob Christensen3 & Sándor Beniczky1

1) Neurofysiologisk Klinik, Aarhus Universitetshospital, 2) Afdeling for Hjerne- og Nerveundersøgelser, Rigshospitalet, 3) Neurologisk Afdeling, Aarhus Universitetshospital

Ugeskr Læger 2022;184:V07210570

Reference: 
UgeskrLæger 2022;184:V07210570
EEG diagnosticsof non-convulsive status epilepticus in critically ill patients

Thorbjørn S. Engedal, Birger Johnsen, Annette Sidaros, Martin Fabricius, Jakob Christensen & Sándor Beniczky

Ugeskr Læger 2022;184:V07210570

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.

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