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Updated: May 20, 2026
Use of a Wireless Video-EEG System to Monitor Epileptiform Discharges Following Lateral Fluid-Percussion Induced Traumatic Brain Injury
Published on: June 21, 2019
[Clinical study of patients undergoing paperless electroencephalography in emergency room]
Takeshi Inoue1, Hisashi Kawawaki, Megumi Nukui
1Department of Pediatric Neurology, Children's Medical Center, Osaka City General Hospital, Osaka. takeshiinoue2004@yahoo.co.jp
Insights
Bed-side paperless electroencephalography quickly evaluates brain function in children with febrile convulsions and altered consciousness. Specific EEG patterns, like spindle waves, indicate a good prognosis, aiding treatment course evaluation.
Area of Science:
- Pediatric Neurology
- Clinical Neurophysiology
Context:
- Febrile convulsions and impaired consciousness in children present diagnostic challenges.
- Rapid neurophysiological assessment is crucial for timely intervention.
Purpose:
- To evaluate the utility of bedside paperless electroencephalography (EEG) in pediatric patients presenting with febrile convulsions and impaired consciousness.
- To identify EEG prognostic factors for neurological outcomes in this patient cohort.
Summary:
- Fifty-eight pediatric patients with febrile convulsions and impaired consciousness underwent bedside paperless EEG.
- Diagnoses included febrile convulsions (26), encephalitis/encephalopathy (24), and others.
- Favorable prognostic factors included spindle waves within 24 hours; poor prognostic factors included generalized high-amplitude delta waves and dysrhythmic flat basic waves.
Impact:
- Bedside paperless EEG provides valuable insights into brain function changes and treatment response in pediatric emergencies.
- Identified EEG patterns can aid in predicting patient outcomes, guiding clinical management decisions.
Abstract:
Fifty-eight patients who visited the emergency room of our center with febrile convulsions and impaired consciousness, and underwent paperless electroencephalography soon after arrival. They consisted of 25 male and 33 female children, ranging in age from 5 months to 15 years and 4 months, with a mean age of 4 years and 10 months. The final diagnoses were poor responsiveness associated with fever and febrile delirium in 5 patients, febrile convulsions in 26, encephalitis/encephalopathy in 24, convulsions associated with mild gastroenteritis in 2, and aseptic meningitis in 1. The appearance of spindle wave within 24 hours after admission was considered to be a favorable prognostic factor, whereas generalized high-amplitude delta waves without fast-wave components and dysrhythmic flat basic waves were considered poor prognostic factors. We conclude that bed-side paperless electroencephalography is useful for the evaluation of changes in the brain function and course of treatment.
