Application status of generalized periodic discharges in continuous electroencephalography monitoring in hypoxic-ischemic encephalopathy
10.3760/cma.j.cn113694-20220721-00569
- VernacularTitle:连续脑电图监测中全面性周期性放电在缺血缺氧性脑病中的应用现状
- Author:
Xiaoqing LIU
1
;
Qinpeng WANG
;
Dandan SU
;
Tingting LI
;
Ke CAI
;
Yangyang WEI
;
Cheng LIANG
Author Information
1. 兰州大学第二医院神经内科重症监护病房,兰州730030
- Keywords:
Electroencephalography;
Hypoxic-ischemic encephalopathy;
Generalized periodic discharges
- From:
Chinese Journal of Neurology
2023;56(4):464-468
- CountryChina
- Language:Chinese
-
Abstract:
In the electroencephalography (EEG) monitoring of patients with hypoxic-ischemic encephalopathy, generalized periodic discharges are often monitored abnormal waveforms. When there are some features of generalized periodic discharges (e.g., frequency≥1.5 Hz or plus), it indicates that the patient is at high risk for seizures or has a poor prognosis. Compared with conventional EEG, the time of continuous EEG monitoring is longer, so the detection rate of these waveforms is higher. At present, scholars at home and abroad have studied these waveforms, but there is controversy about the significance of these waveforms. In this paper, the definition and characteristics of these waveforms and their significance in determining prognosis and guiding treatment in patients with hypoxic-ischemic encephalopathy are reviewed.