在昏迷状态下诊断非性状态的EEG标准 - - 一个未解决的题:一个叙事审查
1The Department of Neurology, King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Kingdom of Saudi Arabia.
Heliyon
|December 4, 2023
概括
在重症患者中诊断非性状态 (NCSE) 需要高度的临床怀疑和及时的脑电图 (EEG). 本综述审查了NCSE不断变化的EEG标准,强调需要进一步研究以完善诊断准确性.
科学领域:
- 神经学 神经学
- 临床神经生理学 临床神经生理学
背景情况:
- 非性状态 (NCSE) 是常见的,经常被忽视的意识变化的原因,特别是在重症监护机构.
- 电脑电图 (EEG) 是疑似NCSE的主要诊断工具.
研究的目的:
- 审查和讨论NCSE的EEG诊断标准的演变.
- 突出EEG技术的进步及其对NCSE检测的影响.
主要方法:
- 关于NCSE的EEG诊断标准现有文献的叙述性综述.
- 讨论更新的标准,如修改的萨尔茨堡共识标准 (mSCNC) 和ACNS 21标准.
主要成果:
- 在过去的30年里,NCSE的EEG诊断标准发生了重大变化.
- 在EEG监测 (连续,急诊室) 的进步提高了NCSE检测率.
- 尽管取得了进展,但诊断仍然具有挑战性,需要临床警.
结论:
- 需要进一步的前性研究来验证当前标准的诊断准确性,包括mSCNC和ACNS 21,特别是在昏迷患者中.
- 医生应该保持高的怀疑指数和较低的门,命令EEG诊断NCSE.
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