Continuous EEG Monitoring Principles and Practice
This book is designed to meet the need for a practically oriented textbook on the rapidly growing field of continuous EEG (cEEG) monitoring. A wide range of key clinical aspects are addressed, with explanation of status epilepticus classification, criteri
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Continuous EEG Monitoring
Aatif M. Husain • Saurabh R. Sinha Editors
Continuous EEG Monitoring Principles and Practice
Editors Aatif M. Husain Neurology Duke University Medical Center Durham North Carolina USA
Saurabh R. Sinha Neurology Duke University Medical Center Durham North Carolina USA
ISBN 978-3-319-31228-6 ISBN 978-3-319-31230-9 (eBook) DOI 10.1007/978-3-319-31230-9 Library of Congress Control Number: 2016959467 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland The registered company is Gewerbestrasse 11, 6330 Cham, Switzerland
To my late parents, Mairaj and Suraiya Husain. Every day I am reminded of their wisdom, humility, generosity and love. I hope I can pass on the lessons I learned from them to my children. Aatif M. Husain To my wife, Vandita, and children, Varun and Sneha. Their love and encouragement is a constant in an ever-changing and challenging world. Saurabh R. Sinha
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Preface
It was only 20 years ago that when continuous EEG (cEEG) monitoring was discussed, it was in the context of monitoring patients in the epilepsy monitoring unit for spell characterization or epilepsy surgery evaluation. Certainly EEGs were performed in the intensive care units (ICU), and patients even underwent “prolonged monitoring.” However, in the era of paper EEGs, prolonged monitoring often consisted of turning the EEG machine on for 5 min every hour or so. Interpretation of reams of paper was done the following day. Partly because of what now appears to be rudimentary methods, we did not appreciate the extraordinary prevalence of seizures in critically ill patients. The last two decades have seen a remarkable change in our understanding of seizures in critically ill patients. Much of this change has been due to the availability of cEEG monitoring. The
