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Preterm EEG: A Multimodal Neurophysiological Protocol
19:32

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Published on: February 18, 2012

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Wireless multichannel electroencephalography in the newborn.

Z H Ibrahim1, G Chari2, S Abdel Baki3

  • 1Pediatrics, Division of Neonatology, SUNY Downstate Medical Center, Brooklyn, NY, USA.

Journal of Neonatal-Perinatal Medicine
|December 24, 2016
PubMed
Summary
This summary is machine-generated.

Ultra-compact wireless electroencephalographic (EEG) devices are feasible for multichannel recordings in the Neonatal Intensive Care Unit (NICU). This technology offers practical, continuous monitoring for preterm infants, overcoming previous recording challenges.

Keywords:
Apneaelectroencephalographypremature infantsseizure

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Area of Science:

  • Neonatal neurology
  • Biomedical engineering
  • Clinical neurophysiology

Background:

  • Neonatal Intensive Care Units (NICUs) require reliable methods for monitoring infant brain activity.
  • Traditional electroencephalographic (EEG) monitoring can be cumbersome and challenging in the NICU environment.

Purpose of the Study:

  • To assess the feasibility of an ultra-compact wireless device (microEEG) for multichannel EEG recording in neonates.
  • To identify areas for improvement in wireless EEG technology for neonatal applications.

Main Methods:

  • 28 preterm infants (24-30 weeks gestational age) underwent 8-9 hour wireless EEG recordings.
  • A 23-electrode configuration based on the International 10-20 System was used.
  • Recordings were wirelessly transmitted for bedside assessment and interpretation by a neurophysiologist.

Main Results:

  • 84 EEGs were recorded; 54 (89%) were interpretable in infants under 35 weeks corrected gestational age.
  • Recordings in infants 35 weeks corrected gestational age or older showed lower interpretability (48%).
  • Only 10% of recordings were uninterpretable due to artifacts, with one study inaccessible.

Conclusions:

  • Wireless EEG devices are practical for continuous, multichannel monitoring in preterm neonates.
  • The small size and ease of use of wireless EEG can facilitate NICU recordings and interpretation.
  • Further optimization may improve performance in older preterm infants.