PMID- 28680316
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 1300-0667 (Print)
IS  - 1309-4866 (Electronic)
IS  - 1300-0667 (Linking)
VI  - 54
IP  - 2
DP  - 2017 Jun
TI  - Electroencephalographic Patterns Recorded by Continuous EEG Monitoring in 
      Patients with Change of Consciousness in the Neurological Intensive Care Unit.
PG  - 168-174
LID - 10.5152/npa.2016.14822 [doi]
AB  - INTRODUCTION: Our aim was to examine the frequency of various electrographic 
      patterns including periodic discharges (PD), repetitive spike waves (RSW), 
      rhythmic delta activities (RDA), nonconvulsive seizures (NCS) and nonconvulsive 
      status epilepticus (NCSE) in continuous EEG monitoring (cEEG) of the critically 
      ill patients with change of consciousness and the presence of specific clinical 
      and laboratory findings associated with these important patterns in this study. 
      METHODS: Patients with changes of consciousness in the neurological intensive 
      care unit (NICU) were consecutively monitored with cEEG during 2 years. Their 
      clinical, electrophysiological, radiological and laboratory findings were 
      evaluated retrospectively. RESULTS: This sample consisted of 57 (25 men) patients 
      with a mean age of 68.2 years. Mean duration of cEEG monitoring was 2532.6 
      minutes. The most common electrographic patterns were PD (33%) and NCS-NCSE 
      (26.3%). The presence of NCS-NCSE was significantly associated with PD (57.9%, 
      p<0.001). PD and NCS-NCSE were the mostly seen in patients with acute stroke and 
      hypoxic encephalopathy. Duration of monitoring was significantly longer in the 
      group with PD and NCS-NCSE (p:0.004, p:0.014). Detection of any electrographic 
      pattern in EEG before monitoring was associated with the presence of any pattern 
      in cEEG (59.3%, p<0.0001). Convulsive or nonconvulsive seizure during monitoring 
      was common in patients with electrographic patterns (p<0.0001). 66.7% of NCS-NCSE 
      was seen within the first 12 hours and 26.7% was seen within the 12-24 hours of 
      the monitoring. CONCLUSION: Detection of any electrographic pattern in EEG before 
      monitoring was associated with the presence of any important pattern in cEEG 
      monitoring. This association suggest that at least 24 hours-monitoring of these 
      patients could be useful for the diagnosis of clinical and/or electrographic 
      seizures.
FAU - Altindag, Ebru
AU  - Altindag E
AD  - Department of Neurology, Istanbul Florence Nightingale Hospital, Istanbul, 
      Turkey.
FAU - Okudan, Zeynep Vildan
AU  - Okudan ZV
AD  - Department of Neurology, Buyukcekmece State Hospital, Istanbul, Turkey.
FAU - Tavukcu Ozkan, Sedef
AU  - Tavukcu Ozkan S
AD  - Intensive Care Unit, Private Memorial Service Hospital, Istanbul, Turkey.
FAU - Krespi, Yakup
AU  - Krespi Y
AD  - Stroke Rehabilitation and Research Unit Memorial Sisli Hospital, Istanbul, 
      Turkey.
FAU - Baykan, Betul
AU  - Baykan B
AD  - Department of Neurology, Clinical Neurophysiology Unit, Istanbul University 
      Istanbul School of Medicine, Istanbul, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20170601
PL  - Turkey
TA  - Noro Psikiyatr Ars
JT  - Noro psikiyatri arsivi
JID - 9426194
PMC - PMC5491668
OTO - NOTNLM
OT  - EEG
OT  - Intensive care unit
OT  - monitorization
COIS- Conflict of Interest: No conflict of interest was declared by the authors.
EDAT- 2017/07/07 06:00
MHDA- 2017/07/07 06:01
PMCR- 2017/06/01
CRDT- 2017/07/07 06:00
PHST- 2016/01/20 00:00 [received]
PHST- 2016/02/01 00:00 [accepted]
PHST- 2017/07/07 06:00 [entrez]
PHST- 2017/07/07 06:00 [pubmed]
PHST- 2017/07/07 06:01 [medline]
PHST- 2017/06/01 00:00 [pmc-release]
AID - npa-54-2-168 [pii]
AID - 10.5152/npa.2016.14822 [doi]
PST - ppublish
SO  - Noro Psikiyatr Ars. 2017 Jun;54(2):168-174. doi: 10.5152/npa.2016.14822. Epub 
      2017 Jun 1.