Electrographic status epilepticus in children with critical illness: Epidemiology and outcome |
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| Institution: | 1. Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, China;2. Department of Neurosurgery, School of Medicine, Southern Medical University (Guangzhou), Jinling Hospital, Nanjing, Jiangsu Province, China;3. Department of Pharmacology, Jinling Hospital, Nanjing 210002, Jiangsu Province, China;1. Department of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan;2. Department of Pediatrics, National Hospital Organization Ureshino Medical Center, Saga, Japan;3. Department of Pediatric Neurology, Fukuoka Children''s Hospital, Fukuoka, Japan;4. Department of General Medicine, Fukuoka Children''s Hospital, Fukuoka, Japan;5. Department of Pediatrics, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan;6. Department of Pediatrics, Japan Organization of Occupational Health and Safety, Yokohama Rosai Hospital, Kanagawa, Japan;7. Department of Pediatrics, National Hospital Organization Okayama Medical Center, Okayama, Japan;8. Department of Pediatrics, Kitakyushu General Hospital, Fukuoka, Japan;9. Department of Pediatrics, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan;10. Department of Pediatrics, Nara Medical University, Nara, Japan;11. Department of Pediatrics, School of Medicine, Tokai University, Kanagawa, Japan;12. Department of Pediatrics, Saiseikai Kawaguchi General Hospital, Saitama, Japan;13. Department of Pediatrics, Saga Prefectural Medical Center Koseikan, Saga, Japan;14. Department of Pediatrics, Tottori Prefectural Central Hospital, Tottori, Japan;15. Department of Pediatrics, Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan;p. Department of Pediatrics, Kameda Medical Center, Chiba, Japan;q. Department of Pediatrics, Oita Prefectural Hospital, Oita, Japan;r. Department of Pediatrics, Nagasaki University Hospital, Nagasaki, Japan;s. Department of Pediatrics, Seirei Numazu Hospital, Shizuoka, Japan;t. Department of Pediatrics, Komaki City Hospital, Aichi, Japan;u. Department of Pediatric Neurology, Nagano Children’s Hospital, Nagano, Japan;v. Department of Pediatrics, Yamagata City Hospital Saiseikan, Yamagata, Japan;w. Education and Research Center for Community Medicine, Saga University, Saga, Japan;1. Department of Biomedical, Metabolic, and Neural Science, Center for Neuroscience and Neurotechnology, University of Modena and Reggio Emilia, Modena, Italy;2. Unit of Neurology, OCSAE Hospital, AOU Modena, Italy;3. Intensive Care Unit, OCSAE Hospital, AOU Modena, Italy;4. Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria;5. Center for Cognitive Neuroscience, Salzburg, Austria;6. Public Health, Health Services Research and HTA, University for Health Sciences, Medical Informatics and Technology, Hall i.T., Austria |
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| Abstract: | Electrographic seizures and electrographic status epilepticus are common in children with critical illness with acute encephalopathy, leading to increasing use of continuous EEG monitoring. Many children with electrographic status epilepticus have no associated clinical signs, so EEG monitoring is required for seizure identification. Further, there is increasing evidence that high seizure burdens, often classified as electrographic status epilepticus, are associated with worse outcomes. This review discusses the incidence of electrographic status epilepticus, risk factors for electrographic status epilepticus, and associations between electrographic status epilepticus and outcomes, and it summarizes recent guidelines and consensus statements addressing EEG monitoring in children with critical illness.This article is part of a Special Issue entitled “Status Epilepticus”. |
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