AI Article Synopsis
- Cumulative evidence supports the use of EEG and evoked potentials in managing patients with acute brain injuries, particularly for detecting seizures and guiding treatment decisions.
- Continuous EEG monitoring is recommended for effectively identifying nonconvulsive seizures in conditions like status epilepticus, and it helps in detecting secondary brain injuries in cases of head trauma, stroke, and subarachnoid hemorrhage.
- Advances in long-latency auditory evoked potentials and motor evoked potentials are gaining clinical relevance, and improving training for healthcare professionals can enhance the effectiveness of neurointensive care practices.
Article Abstract
Cumulative evidence of potential benefits of electroencephalography (EEG) and evoked potentials in the management of patients with acute cerebral damage has been confirmed. Continuous EEG monitoring is the best method for detecting nonconvulsive seizures and is strongly recommended for the treatment of status epilepticus. Continuously displayed, validated quantitative EEG may facilitate early detection of secondary cerebral insults and may play a decision-making role in the management of patients with head injury, stroke, or subarachnoid hemorrhage. Long-latency auditory evoked potentials and cognitive components constitute a new field of interest for the progress of comatose patients. Motor evoked potentials may become clinically important both in acutely injured and elective postoperative patients. In the neurointensive care units adequate techniques can be selected to answer targeted clinical questions. The efficacy can be improved by implementing educational projects based on ad hoc training of nurses and neurointensive care specialists.
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| http://dx.doi.org/10.1097/00075198-200104000-00004 | DOI Listing |
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