Skip to main content
Log in

Utility of CT-compatible EEG electrodes in critically ill children

  • Original Article
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Background

Electroencephalographic monitoring is being used with increasing frequency in critically ill children who may require frequent and sometimes urgent brain CT scans. Standard metallic disk EEG electrodes commonly produce substantial imaging artifact, and they must be removed and later reapplied when CT scans are indicated.

Objective

To determine whether conductive plastic electrodes caused artifact that limited CT interpretation.

Material and methods

We describe a retrospective cohort of 13 consecutive critically ill children who underwent 17 CT scans with conductive plastic electrodes during 1 year. CT images were evaluated by a pediatric neuroradiologist for artifact presence, type and severity.

Results

All CT scans had excellent quality images without artifact that impaired CT interpretation except for one scan in which improper wire placement resulted in artifact.

Conclusion

Conductive plastic electrodes do not cause artifact limiting CT scan interpretation and may be used in critically ill children to permit concurrent electroencephalographic monitoring and CT imaging.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Sanchez SM, Carpenter J, Chapman KE et al (2013) Pediatric ICU EEG monitoring: current resources and practice in the United States and Canada. J Clin Neurophysiol 30:156–160

    Article  PubMed Central  PubMed  Google Scholar 

  2. Abend NS, Topjian AA, Gutierrez-Colina AM et al (2011) Impact of continuous EEG monitoring on clinical management in critically ill children. Neurocrit Care 15:70–75

    Article  PubMed Central  PubMed  Google Scholar 

  3. Abend NS, Arndt DH, Carpenter JL et al (2013) Electrographic seizures in pediatric ICU patients: cohort study of risk factors and mortality. Neurology 81:383–391

    Article  PubMed Central  PubMed  Google Scholar 

  4. Wagenman KL, Blake TP, Sanchez SM et al (2014) Electrographic status epilepticus and long-term outcome in critically ill children. Neurology 4:396–404

    Article  Google Scholar 

  5. Das RR, Lucey BP, Chou SH et al (2009) The utility of conductive plastic electrodes in prolonged ICU EEG monitoring. Neurocrit Care 10:368–372

    Article  PubMed  Google Scholar 

  6. Vulliemoz S, Perrig S, Pellise D et al (2009) Imaging compatible electrodes for continuous electroencephalogram monitoring in the intensive care unit. J Clin Neurophysiol 26:236–243

    Article  PubMed  Google Scholar 

  7. Abend NS, Gutierrez-Colina AM, Topjian AA et al (2011) Nonconvulsive seizures are common in critically ill children. Neurology 76:1071–1077

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Mirsattari SM, Davies-Schinkel C, Young GB et al (2009) Usefulness of a 1.5 T MRI-compatible EEG electrode system for routine use in the intensive care unit of a tertiary care hospital. Epilepsy Res 84:28–32

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Dr. Abend is supported by a grant from the National Institutes of Health (K23NS076550).

Conflicts of interest

None

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicholas S. Abend.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abend, N.S., Dlugos, D.J., Zhu, X. et al. Utility of CT-compatible EEG electrodes in critically ill children. Pediatr Radiol 45, 714–718 (2015). https://doi.org/10.1007/s00247-014-3208-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-014-3208-5

Keywords

Navigation