PRACTICAL PEARL

Neurocritical Care

, 11:223

First online:

Sixty Day Continuous Use of Subdermal Wire Electrodes for EEG Monitoring During Treatment of Status Epilepticus

  • Gabriel U. MartzAffiliated withFE Dreifuss Comprehensive Epilepsy Program, Department of Neurology, University of Virginia Email author 
  • , Christina HucekAffiliated withFE Dreifuss Comprehensive Epilepsy Program, Department of Neurology, University of Virginia
  • , Mark QuiggAffiliated withFE Dreifuss Comprehensive Epilepsy Program, Department of Neurology, University of Virginia

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Abstract

Introduction

Use of continuous EEG in the ICU setting is increasing. The EEG electrode continues to be a weak link in the chain from recording to interpretation. The technical difficulties of maintaining artifact-free, low impedance data collection are magnified by the ICU environment and prolonged duration of monitoring often required for these patients.

Case

We describe a case demonstrating the longest reported continuous use of subdermal wire electrodes.

Discussion

Subdermal wire electrodes offer a safe method to overcome technical challenges while maintaining high-recording quality. Their advantages and disadvantages are considered in specific circumstances and in comparison to other electrode types.

Keywords

Continuous EEG Neurologic critical care EEG electrodes Status epilepticus