Application of video-electroencephalogram in monitoring the early seizures following acute traumatic brain injury and the nonconvulsive status epilepticus under coma
- VernacularTitle:视频脑电图监测在急性脑损伤后早期癫痫及昏迷状态下非痉挛性癫痫中的应用
- Author:
Wei DAN
;
Wenyuan TANG
- Publication Type:Journal Article
- Keywords:
Electroencephalogram;
Brain injuries;
Seizures
- From:
Chinese Journal of Trauma
2003;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore specific risk factors in the early seizures after acute moderate and severe head injuries and understand incidence of nonconvulsive status epilepticus (NCSE) under coma. Methods Eighty-six patients with acute moderate and severe head injuries were monitored with video-electroencephalogram (video-EEG) for one week. Results (1) Of all, 7 cases (8.14%) had clinical seizures and 6 (6.98%) NCSE. (2) In patients with severe head injuries especially intracranial hemorrhage, post-traumatic seizures especially NCSE were more likely to occur, with no significant difference in sex and age. Conclusions Severe and critical head injuries and intracranial hemorrhage are specific risk factors for early post-traumatic seizures, especially NCSE. After brain injury, EEG should be used to evaluate traumatic coma even if clinical seizure does not appear.
