Neurology
-
Review
Detection of electrographic seizures with continuous EEG monitoring in critically ill patients.
To identify patients most likely to have seizures documented on continuous EEG (cEEG) monitoring and patients who require more prolonged cEEG to record the first seizure. ⋯ CEEG monitoring detected seizure activity in 19% of patients, and the seizures were almost always nonconvulsive. Coma, age <18 years, a history of epilepsy, and convulsive seizures prior to monitoring were risk factors for electrographic seizures. Comatose patients frequently required >24 hours of monitoring to detect the first electrographic seizure.
-
Review Comparative Study
Practice parameter: medical treatment of infantile spasms: report of the American Academy of Neurology and the Child Neurology Society.
To determine the current best practice for treatment of infantile spasms in children. ⋯ ACTH is probably an effective agent in the short-term treatment of infantile spasms. Vigabatrin is possibly effective.