EEG as an Indicator of Cerebral Functioning in Postanoxic Coma.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_C1D73BC3EC87
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
EEG as an Indicator of Cerebral Functioning in Postanoxic Coma.
Journal
Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
Author(s)
Juan E., Kaplan P.W., Oddo M., Rossetti A.O.
ISSN
1537-1603 (Electronic)
ISSN-L
0736-0258
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
32
Number
6
Pages
465-471
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
Postanoxic coma after cardiac arrest is one of the most serious acute cerebral conditions and a frequent cause of admission to critical care units. Given substantial improvement of outcome over the recent years, a reliable and timely assessment of clinical evolution and prognosis is essential in this context, but may be challenging. In addition to the classic neurologic examination, EEG is increasingly emerging as an important tool to assess cerebral functions noninvasively. Although targeted temperature management and related sedation may delay clinical assessment, EEG provides accurate prognostic information in the early phase of coma. Here, the most frequently encountered EEG patterns in postanoxic coma are summarized and their relations with outcome prediction are discussed. This article also addresses the influence of targeted temperature management on brain signals and the implication of the evolution of EEG patterns over time. Finally, the article ends with a view of the future prospects for EEG in postanoxic management and prognostication.
Keywords
Brain Waves/physiology, Cerebral Cortex/physiopathology, Coma/diagnosis, Coma/etiology, Electroencephalography, Heart Arrest/complications, Humans
Pubmed
Web of science
Open Access
Yes
Create date
07/12/2015 11:39
Last modification date
20/08/2019 15:36
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