Continuous-display four-channel electroencephalographic monitoring in the evaluation of neonates with paroxysmal motor events.
The objective of this study was to determine the value of continuous-display four-channel electroencephalographic (EEG) monitoring to distinguish epileptic front nonepileptic paroxysmal motor events. Five full-term neonates with paroxysmal motor events were included in the study. Nurses were instructed to print contiguous pages of the continuous-display four-channel EEG monitoring and to activate the event marker on the simultaneously conducted continuous video-EEG telemetry unit during each paroxysmal motor event. The printouts from the continuous-display four-channel EEG monitoring were interpreted and compared with the corresponding segments of continuous video-EEG telemetry. Thirty paroxysmal motor events were captured. Sixteen paroxysmal motor events were epileptic, and 14 were nonepileptic. The interpretation of the printouts of the continuous four-channel EEG monitoring concurred with an independent interpretation of the corresponding video-EEG telemetry segments in all of the events. Continuous-display four-channel EEG monitoring is a valuable tool in the evaluation of neonates with paroxysmal motor events since it reliably distinguishes epileptic and nonepileptic events.
Alfonso
I
I
Department of Neurology, Miami Children's Hospital, University of Miami, Florida, USA. abermudez@pediatricneuro.com
Jayakar
P
P
Yelin
K
K
Dunayer
C
C
Papazian
O
O
Vasconcellos
E
E
Valeron
N M
NM
Papzian
O
O
D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D012720:Severity of Illness Index; D013686:Telemetry / Q000379:methods; D013997:Time Factors; D014743:Videotape Recording