Epilepsy And Intensive Care Monitoring

Unlike many other diagnostic procedures, EEG, now over 80 years old, and epilepsy monitoring, now over 40 years old, have demonstrated their usefulness and stood the test of time. Although the benefits of these diagnostic procedures are clear, monitoring is currently not available to the majority of patients in need. One of the factors limiting broader implementation is the lack of practitioners with special expertise. Epilepsy and Intensive Care Monitoring was developed to address this concern. This practical volume contains detailed chapters covering all areas of clinical epilepsy monitoring. Featuring expert authors from major epilepsy centers, this seminal work reviews all current procedures and applications for monitoring adults and children with epilepsy in the Epilepsy Monitoring Unit and the ICU. Opening sections are devoted to indications, procedures, administrative considerations, and technical aspects of the Epilepsy Monitoring Unit and ICU monitoring, followed by dedicated sections on EEG diagnosis and localization and monitoring of neurological disorders in the Epilepsy Monitoring Unit and ICU. The book concludes with special procedures and an Appendix with guidelines for organizing epilepsy monitoring centers and technical aspects of EEG monitoring. Key Features include Covers both adult and pediatric Epilepsy Monitoring Unit and ICU monitoring Contains over 235 high-quality EEGs and other illustrations, including an 8-page color section Comprehensive coverage; no other book in this area has comparable breadth and depth Clinical Focus Expert authors tell you when and how to perform the procedures they discuss

As the population ages, technology improves, intensive care medicine expands and neurocritical care advances, the use of EEG monitoring in the critically ill is becoming increasingly important. This atlas is a comprehensive yet accessible introduction to the uses of EEG monitoring in the critical care setting. It includes basic EEG patterns seen in encephalopathy, both specific and non-specific, nonconvulsive seizures, periodic EEG patterns, and controversial patterns on the ictal–interictal continuum. Confusing artefacts, including ones that mimic seizures, are shown and explained, and the new standardized nomenclature for these patterns is included. The Atlas of EEG in Critical Care explains the principles of technique and interpretation of recordings and discusses the techniques of data management, and 'trending' central to long-term monitoring. It demonstrates applications in multi-modal monitoring, correlating with new techniques such as microdialysis, and features superb illustrations of commonly observed neurologic events, including seizures, hemorrhagic stroke and ischaemia. This atlas is written for practitioners, fellows and residents in critical care medicine, neurology, epilepsy and clinical neurophysiology, and is essential reading for anyone getting involved in EEG monitoring in the intensive care unit.

Handbook of Continuous EEG Monitoring in the ICU addresses a wide range of technical and clinical issues involved in successfully monitoring critically ill patients to detect seizure activity and prevent serious nervous system impairment. Divided into five sections, the handbook covers image acquisition and other technical considerations, clinical indications, EEG interpretation, treatment, and practical and administrative concerns such as billing and coding and report generation. Written by leading international experts the chapters are brief and formatted for maximum utility with bulleted text, pearls, and take-home points to reinforce key information. Full-page examples of routine and quantitative EEG findings hone interpretive understanding and build skills for detecting clinically significant EEG changes in the ICU.

A panel of international ICU and epilepsy physicians and researchers detail the epileptic phenomena that occur in the complex environment of the ICU. Focusing on the central nervous system, the authors systematically examine the most up-to-date evidenced-based data regarding ICU seizures, including their most frequent causes, their pathophysiology, their clinical presentation, and the diagnostic evaluation needed to confirm their presence. They also discuss the challenges and specifics of the management of ICU seizures, reviewing the new antiepileptics and their interaction with other ICU medications, drugs with epileptogenic properties used in the ICU, and the role of the new enterally available antiepileptics in treating seizures. Numerous tables summarize drug interactions, neuroimages reveal common ICU seizure etiologies, and multiple electroencephalographic recordings demonstrate clinical or subclinical seizures in ICU patients.

The leading reference on electroencephalography since 1982, Niedermeyer's Electroencephalography is now in its thoroughly updated Sixth Edition. An international group of experts provides comprehensive coverage of the neurophysiologic and technical aspects of EEG, evoked potentials, and magnetoencephalography, as well as the clinical applications of these studies in neonates, infants, children, adults, and older adults. This edition's new lead editor, Donald Schomer, MD, has updated the technical information and added a major new chapter on artifacts. Other highlights include complete coverage of EEG in the intensive care unit and new chapters on integrating other recording devices with EEG; transcranial electrical and magnetic stimulation; EEG/TMS in evaluation of cognitive and mood disorders; and sleep in premature infants, children and adolescents, and the elderly. A companion website includes fully searchable text and image bank.

Although epilepsy is one of the nation's most common neurological disorders, public understanding of it is limited. Many people do not know the causes of epilepsy or what they should do if they see someone having a seizure. Epilepsy is a complex spectrum of disorders that affects an estimated 2.2 million Americans in a variety of ways, and is characterized by unpredictable seizures that differ in type, cause, and severity. Yet living with epilepsy is about much more than just seizures; the disorder is often defined in practical terms, such as challenges in school, uncertainties about social situations and employment, limitations on driving, and questions about independent living. The Institute of Medicine was asked to examine the public health dimensions of the epilepsies, focusing on public health surveillance and data collection; population and public health research; health policy, health care, and human services; and education for people with the disorder and their families, health care providers, and the public. In Epilepsy Across the Spectrum, the IOM makes recommendations ranging from the expansion of collaborative epilepsy surveillance efforts, to the coordination of public awareness efforts, to the engagement of people with epilepsy and their families in education, dissemination, and advocacy for improved care and services. Taking action across multiple dimensions will improve the lives of people with epilepsy and their families. The realistic, feasible, and action-oriented recommendations in this report can help enable short- and long-term improvements for people with epilepsy. For all epilepsy organizations and advocates, local, state, and federal agencies, researchers, health care professionals, people with epilepsy, as well as the public, Epilepsy Across the Spectrum is an essential resource.

This book is designed to meet the need for a practically oriented textbook on the rapidly growing field of continuous EEG (cEEG) monitoring. A wide range of key clinical aspects are addressed, with explanation of status epilepticus classification, criteria for institution of monitoring, seizure patterns and their recognition, quantitative EEG analysis, and neuroimaging in patients undergoing cEEG monitoring. The value of cEEG and the nature of cEEG findings in various special situations are then reviewed, covering particular pathologies, critical care considerations, and prognostication. Treatments of nonconvulsive status epilepticus (NCSE) and nonconvulsive seizures (NCS) are discussed. The concluding section is devoted to important administrative issues including billing, staffing issues, comparison of EEG machines, and information technology (IT) issues.Continuous EEG monitoring offers the only reliable means of detecting seizures that are not clinically obvious in critically ill patients. Such seizures are common: approximately 20% of patients undergoing cEEG monitoring in hospital have NCSE or NCS. Against this background, many hospitals have started to offer cEEG monitoring as a basis for delivery of appropriate treatment. By presenting the state of the art in cEEG monitoring, this book will be invaluable to practitioners including neurophysiologists, neurologists, neurointensivists, intensivists, neurophysiology and epilepsy fellows, and neurology residents.

Atlas of Pediatric and Neonatal ICU EEG is the first and only atlas to provide a comprehensive overview of the EEG patterns encountered in critically ill neonates and children, with emphasis on their significance and implications for patient care. EEG monitoring is an essential component of neurocritical care, and the patterns seen in critically ill children and neonates are often distinctly different from those found in critically ill adults or encountered in an epilepsy monitoring unit or outpatient neurophysiology laboratory. This resource provides expert guidance in the interpretation of neonatal and pediatric critical care EEG with hundreds of examples and detailed descriptions to enhance understanding and facilitate better outcomes for EEG monitoring in children. The chapters begin by addressing the basics of each topic before focusing on specific EEG patterns and their relevance to a particular disease state. Dedicated chapters on rhythmic and periodic patterns, status epilepticus, quantitative EEG analysis, and multimodality monitoring provide a thorough grounding in ICU EEG skills and applications. The book concludes with a series of thirteen cases illustrating common scenarios to help clinicians apply lessons learned. 140 board-style questions targeting information covered on the epilepsy and clinical neurophysiology boards is included online along with 12 videos that further amplify chapter content. Incorporating the most recent American Clinical Neurophysiology Society guidelines for critical care EEG monitoring in neonates and children, this evidence-based atlas will be a trusted reference for critical care clinicians, neurologists, epileptologists, and other providers who care for critically ill neonates and children. Key Features: Detailed descriptions of the indications for and utility of ICU EEG monitoring in neonatal and pediatric patients Over 270 images of neonatal and pediatric ICU EEGs with explanations of key features Illustrative cases, board-style review questions with rationales, and videos facilitate understanding and application of the material covered in the images and text Takeaway points included at the end of chapters underscore essential information