Quantitative EEG for the detection of brain ischemia
1 Columbia University College of Physicians & Surgeons, Division of Critical Care Neurology, New York, NY, USA
2 Department of Neurology, Columbia University, New York, NY, USA
Critical Care 2012, 16:216 doi:10.1186/cc11230Published: 20 March 2012
First paragraph (this article has no abstract)
Monitoring in most intensive care units (ICUs) is limited to continuous assessments of cardiopulmonary function, whereas brain monitoring has traditionally been limited to serial neurological examinations and infrequent imaging studies. Increasingly it is becoming clear that secondary neurological complications, such as seizures and brain ischemia, are also seen in the medical-surgical ICU population and are not limited to patients with primarily neurological injury. Electroencephalography (EEG) offers a continuous, real-time, non-invasive measure of brain function. Originally developed for the characterization of seizures and epilepsy, continuous EEG monitoring (cEEG) has been used for seizure detection in the ICU. Additionally, cEEG has been used as a method of identifying subclinical brain injury during neurosurgical procedures, such as carotid endarterectomy, and for ischemia detection, global function assessment, medication titration, and prognostication .