Abstract
While continuous EEG (cEEG) remains the ideal method of monitoring for seizures in neonates, quantitative EEG (qEEG) trends are often used. In particular, amplitude-integrated EEG (aEEG) is increasingly popular and can be a helpful complementary tool to cEEG monitoring. In situations in which cEEG is not practical, aEEG may be used as a stand-alone method of neuromonitoring. Alternately, aEEG may be used in conjunction with cEEG to allow bedside caregivers in the neonatal unit to monitor EEG trends in real time or to facilitate rapid review of neonatal cEEG by a neurophysiologist. Understanding the fundamentals of how aEEG is recorded and displayed helps clinicians accurately interpret background patterns and identify seizures. Specific factors can impact accuracy of aEEG for seizure detection; modification of these factors can improve sensitivity and specificity. Awareness of limitations of aEEG facilitates appropriate clinical use.
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Knowles, J.K., Wusthoff, C.J. (2017). Quantitative EEG in Neonatal Seizures. In: Husain, A., Sinha, S. (eds) Continuous EEG Monitoring. Springer, Cham. https://doi.org/10.1007/978-3-319-31230-9_13
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