EEG-Monitoring During Early Phases of Neurosurgical Intensive Care. Posttraumatic Limbic Epilepsy

  • F. Miltner
  • N. Soerensen
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 4)

Abstract

With neurosurgical patients the perisurgical period is often characterized by coma, disregulation of autonomic functions and pathological motor events. In intensive care units polygraphic monitoring of autonomic phenomena is essential for therapeutical decisions. Conventionally heart rate, respiration, body temperature and arterial and venous pressures are recorded. More recently intracranial pressure monitoring and EEG-parameters were added in order to get further information a-bout fundamental pathophysiological processes such as rhythmic events and focal bioelectrical signs and synchronization phenomena. Increase in synchronization of bioelectrical activity is well-known to neuro-physiologists with comatose patients. Scizure discharges without motor events are, however, suspected to be of less importance (8).

Keywords

Respiration Coherence Neurol Diazepam Hyperglycemia 

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References

  1. 1.
    BANCAUD, J.,: Origine focale multiple de certaines epilepsies corticales. Rev. Neurol. 117, 222–243 (1967).Google Scholar
  2. 2.
    BRAZIER, M.A.B.: Interactions of deep structures during Scizures in man. In: Synchronization of EEG activity in epilepsies (eds. H. Petsche and M.A.B. Brazier), pp. 409–423. Wien: Springer 1972.Google Scholar
  3. 3.
    BRAZIER, M.A.B., CRANDALL, P.H., WALSH, G.O.: Enhancement of EEG lateralizing signs in temporal lobe epilepsy: A trial of Diazepam. Exp. Neurol. 51, 241–258 (1976).PubMedCrossRefGoogle Scholar
  4. 4.
    GREEN, J.D., ADEY, W.R.: Electrophysiological studies of hippocampal connections and excitability. Electroenceph. Clin. Neurophysiol. 8, 245–262 (1956).PubMedCrossRefGoogle Scholar
  5. 5.
    HEPPNER, F.: Limbisches System und Epilepsie. In: Aktuelle Probleme in der Psychiatrie, Neurologie, Neurochirurgie 9. Bern: Huber 1973.Google Scholar
  6. 6.
    JACKSON, H., COLMAN, W.S.: Case of epilepsy with tasting movements and “dreamy state”: very small patch of softening in the left uncinate gyrus. Brain 21, 580–590 (1890).CrossRefGoogle Scholar
  7. 7.
    UMBACH, W.: Elektrophysiologische und vegetative Phänomene bei stereotaktischen Hirnoperationen. Berlin: Springer 1966.Google Scholar
  8. 8.
    WERNER, R.: Die Wertung von Krampfzeichen im EEG bei Hirntraumatikern ohne klinische Anfallssymptomatik. Dtsch. Z. Nervenheilk. 186, 5–11 (1964).Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1977

Authors and Affiliations

  • F. Miltner
  • N. Soerensen

There are no affiliations available

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