Ictal-Interictal Continuum

被引:20
作者
Kalamangalam, Giridhar P. [1 ]
Pohlmann-Eden, Bernhard [2 ]
机构
[1] Univ Florida, Dept Neurol, POB 100236, Gainesville, FL 32610 USA
[2] Dalhousie Univ, Life Sci Res Inst, Brain Repair Ctr, Halifax, NS, Canada
关键词
Continuous EEG; Critical care; Periodic discharge; LATERALIZED EPILEPTIFORM DISCHARGES; GENERALIZED PERIODIC DISCHARGES; METABOLIC ABNORMALITIES; STRUCTURAL LESIONS; DYNAMIC MECHANISMS; WHITE-MATTER; EEG; PLEDS; STROKE; NEUROPHYSIOLOGY;
D O I
10.1097/WNP.0000000000000447
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The term "ictal-interictal" continuum has seen wide adoption in the critical care EEG domain, referring to the presence of abnormal periodic activity on the scalp EEG variably associated with seizures. The historical origin of the ictal-interictal continuum concept is discussed with a review of known and surmised physiological mechanisms for their origin and relationship to seizures. Therapeutic approaches to patients exhibiting ictal-interictal continuum EEG patterns are reviewed, and some open scientific questions highlighted. Further understanding of the ictal-interictal continuum is likely to significantly improve the care of the critically ill neurological patient.
引用
收藏
页码:274 / 278
页数:5
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