The Utility of EEG,SSEP, and Other Neurophysiologic Tools to Guide Neurocritical Care |
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Authors: | Email author" target="_blank">Eric?S?RosenthalEmail author |
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Institution: | (1) Department of Neurology, Division of Neurocritical Care and Emergency Neurology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA |
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Abstract: | Neuromonitoring is an emerging field that aims to characterize real-time neurophysiology to tailor therapy for acute injuries
of the central nervous system. While cardiac telemetry has been used for decades among patients requiring critical care of
all kinds, neurophysiology and neurotelemetry has only recently emerged as a routine screening tool in comatose patients.
The increasing utilization of electroencephalography in comatose patients is primarily due to the recognition of the common
occurrence of nonconvulsive seizures among comatose patients, the development of quantitative measures to detect regional
ischemia, and the appreciation of electroencephalography phenotypes that indicate prognosis after cardiac arrest. Other neuromonitoring
tools, such as somatosensory evoked potentials have a complementary role, surveying the integrity of the neuroaxis as an indicator
of prognosis or illness progression in both acute brain and spinal injuries. |
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Keywords: | |
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