title: [Electroencephalogram of the full-term newborn. Normal features and hypoxic-ischemic encephalopathy].
abstract: The objective of this work is to specify, by reference to the normal newborn, the current contribution of the electroencephalogram in the hypoxic-ischemic encephalopathy of the full-term newborn. Both digitized traditional EEG and cerebral function monitoring (CFM) will be considered. We first describe the main features of normal and pathological EEGs. A good knowledge of the organization of the sleep-wakefulness cycles, in relationship with the EEG, is essential. Very early recordings (before 6 hours of life) are needed to put the indications of neuroprotective treatments (hypothermia). Between the normal or near-normal tracings, which are associated with a good prognosis, and the very pathological tracings (inactive, paroxysmal), which are associated with a poor vital or functional prognosis, the interpretation of "intermediate" tracings - mainly represented by other types of discontinuous tracings - must take into account characteristics of bursts and discontinuities, postnatal age, the evolution of successive tracings, and pharmacological treatments. A flowchart is used to illustrate our strategy of EEG watching over a full-term newborn after an acute fetal distress.
authors.affiliation: Service de neurophysiologie clinique, CHRU Roger-Salengro, 59037 Lille cedex, France. marie-dominique.lamblin@chru-lille.fr
authors.forename: M-D
authors.initials: MD
authors.lastname: Lamblin
authors.forename: M
authors.initials: M
authors.lastname: André
mesh_terms: D001921:Brain / Q000503:physiopathology; D004569:Electroencephalography; D005260:Female; D005316:Fetal Distress / Q000503:physiopathology; D006801:Humans; D007036:Hypothermia, Induced; D020925:Hypoxia-Ischemia, Brain / Q000503:physiopathology* / Q000628:therapy; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening; D012016:Reference Values; D012640:Seizures / Q000209:etiology / Q000503:physiopathology