PMID- 19388551
OWN - NLM
STAT- MEDLINE
DCOM- 20090515
LR  - 20090424
IS  - 1086-508X (Print)
IS  - 1086-508X (Linking)
VI  - 49
IP  - 1
DP  - 2009 Mar
TI  - Emergency ("stat") EEG in the era of nonconvulsive status epilepticus.
PG  - 94-104
AB  - The most widely accepted indication for a stat EEG (stEEG) is the suspicion of 
      nonconvulsive status epilepticus (NCSE). NCSE has been reported with surprising 
      frequency in a wide variety of acute structural and metabolic brain injuries and 
      significantly increases the risk of permanent brain damage and death. This risk 
      rises and the effectiveness of treatment decreases with delays in diagnosis and 
      increased duration of NCSE. Recent evidence confirms that more than half of NCSE 
      patients improve with anti-seizure treatment. The emergence of NCSE as a common, 
      dangerous, time-urgent, and treatable problem has positioned it as a target for 
      emergency therapeutic intervention. NCSE can only be diagnosed by EEG testing, 
      and stEEG has demonstrated value in improving NCSE management. As a result, in 
      the near future, EEG laboratories will see increasing demands for stEEG related 
      to NCSE. The two main obstacles to an effective stEEG program are EEG 
      technologist coverage and electroencephalographer availability after work hours. 
      We recommend three simple but fundamental changes in the traditional approach to 
      stEEGs in order to overcome these obstacles: the use of EEG set-up templates by 
      onsite personnel, easy access to EEG instruments after hours, and remote stEEG 
      connectivity for real-time, off-site electroencephalographer interpretation.
FAU - Jordan, Kenneth G
AU  - Jordan KG
AD  - Jordan NeuroScience, Inc., San Bernardino, California, USA.
FAU - Schneider, Anita L
AU  - Schneider AL
LA  - eng
PT  - Comment
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Am J Electroneurodiagnostic Technol
JT  - American journal of electroneurodiagnostic technology
JID - 9607038
SB  - IM
CON - Am J Electroneurodiagnostic Technol. 2009 Mar;49(1):87-93. PMID: 19388550
MH  - Electroencephalography/*methods/standards
MH  - Emergency Medical Services
MH  - Humans
MH  - Status Epilepticus/diagnosis
RF  - 33
EDAT- 2009/04/25 09:00
MHDA- 2009/05/16 09:00
CRDT- 2009/04/25 09:00
PHST- 2009/04/25 09:00 [entrez]
PHST- 2009/04/25 09:00 [pubmed]
PHST- 2009/05/16 09:00 [medline]
PST - ppublish
SO  - Am J Electroneurodiagnostic Technol. 2009 Mar;49(1):94-104.