Early Detection of Cerebral Herniation by Continuous Electroencephalography and Quantitative Analysis.
Faisal AlsallomCharles CasassaKeerthana AkkineniLu LinPublished in: Clinical EEG and neuroscience (2021)
Continuous electroencephalography (cEEG) and quantitative analysis of EEG (qEEG) are used in various circumstances such as detecting seizures, identifying acute or delayed cerebral ischemia, monitoring sedative therapy, or assessing prognosis. The authors report 2 cases: (1) Case #1 was a patient with unilateral cerebral edema and uncal herniation with asymmetric cEEG and qEEG changes detected an hour before clinical examination changes were noted and (2) Case #2 was a patient with diffuse cerebral edema and trans-tentorial herniation with symmetric cEEG and qEEG changes detected an hour before clinical examination changes were noted. These cases demonstrate the ability of cEEG and qEEG in early detection of different types of cerebral herniation. qEEG can be utilized by intensive care unit (ICU) staff not trained in EEG interpretation as a surveillance method to detect cerebral herniation, which may provide an opportunity for early intervention in high-risk patients.
Keyphrases
- subarachnoid hemorrhage
- cerebral ischemia
- intensive care unit
- brain injury
- blood brain barrier
- end stage renal disease
- blood pressure
- case report
- ejection fraction
- randomized controlled trial
- functional connectivity
- mechanical ventilation
- working memory
- cerebral blood flow
- peritoneal dialysis
- stem cells
- patient reported outcomes
- chronic kidney disease
- prognostic factors
- extracorporeal membrane oxygenation
- drug induced
- acute respiratory distress syndrome
- high density
- body composition
- high intensity
- mass spectrometry