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Electrographic Seizures in Pediatrics: Recognition and Examples

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Continuous EEG Monitoring

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Abstract

Increased use of continuous EEG (cEEG) monitoring over the last decade has led to recognition of a relatively high prevalence of electrographic seizures in neonates and children with critical illness. Definitions of seizures and status epilepticus (SE) have evolved along with the increased availability of monitoring. While there are some differences in the frequency of seizures and seizure types in neonates and children, both benefit from cEEG. Rates of electrographic-only seizures in these populations are high, and recent studies suggest that electrographic seizures have a negative effect on outcome. This chapter will discuss current definitions of electrographic seizures and SE as well as indications for cEEG monitoring. The timing and duration of monitoring necessary to obtain the highest yield for seizure detection will also be presented. Examples of electrographic seizures encountered in the intensive care unit are also featured with discussion of strategies to facilitate accurate identification.

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Author information

Authors and Affiliations

  1. Departments of Neurology and Pediatrics, Children’s National Health System, George Washington University School of Medicine and Health Sciences, Washington, DC, USA

    Jessica L. Carpenter & T. N. Tsuchida

  2. Floating Hospital for Children at Tufts Medical Center, Department of Pediatrics, Division of Neurology, Tufts University School of Medicine, Boston, MA, USA

    N. Mehta

Authors
  1. Jessica L. Carpenter
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  2. N. Mehta
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  3. T. N. Tsuchida
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Corresponding author

Correspondence to Jessica L. Carpenter .

Editor information

Editors and Affiliations

  1. Neurology, Duke University Medical Center Neurology, Durham, North Carolina, USA

    Aatif M. Husain

  2. Neurology, Duke University Medical Center, Durham, North Carolina, USA

    Saurabh R. Sinha

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© 2017 Springer International Publishing Switzerland

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Carpenter, J.L., Mehta, N., Tsuchida, T.N. (2017). Electrographic Seizures in Pediatrics: Recognition and Examples. In: Husain, A., Sinha, S. (eds) Continuous EEG Monitoring. Springer, Cham. https://doi.org/10.1007/978-3-319-31230-9_8

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  • DOI: https://doi.org/10.1007/978-3-319-31230-9_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31228-6

  • Online ISBN: 978-3-319-31230-9

  • eBook Packages: MedicineMedicine (R0)

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