[Emergency EEG and brain injuries].
The aim of this study is to review indications for emergency EEG in case of brain trauma. The authors emphasize the indication of emergency EEG for the diagnosis of either cerebral death or early post traumatic seizures, and for the monitoring of intensive neurological treatments. Emergency EEG and diagnosis of cerebral death has been reviewed in another issue of this journal. Diagnosis of early post-traumatic seizures may be difficult in case of cranial trauma in either the presence or the absence of coma. Emergency EEG help guide the diagnosis of electrical signs of seizures, thus indicating that treatment with antiepileptic drugs is advisable. Severe post-traumatic coma requires barbiturate impregnation and moderate hypothermia. In this last case, emergency EEG is essential for the monitoring of pharmacological treatments. The authors conclude that continuous EEG monitoring could in the future substitute for standard EEG recorded in emergency.
Legros
B
B
Service d'anestésie réanimation, CHU Tours, France.
Fournier
P
P
Chiaroni
P
P
Mercier
C
C
Degiovanni
E
E
Lucas
B
B
de Toffol
B
B
Aesch
B
B
D001926:Brain Death / Q000175:diagnosis; D001930:Brain Injuries / Q000503:physiopathology*; D004569:Electroencephalography; D004630:Emergencies; D006801:Humans; D012151:Resuscitation; D012640:Seizures / Q000503:physiopathology
EEG en urgence et traumatisme crânien.