Review of Noninvasive Neuromonitoring Modalities in Children II: EEG, qEEG

Benedetti, Giulia M.; Guerriero, Réjean M.; Press, Craig A.

doi:10.1007/s12028-023-01686-5

Cited by 6 publications

(4 citation statements)

References 203 publications

(259 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, the anatomical MRI can be used to examine the scale at which these neuroplastic changes are occurring in order to gain a better understanding of the speed at which adaptation to isolation might occur. Electroencephalograms (EEGs) are widely used to monitor pediatric patients in hospitals, particularly in specialized intensive care units, and would be useful to leverage for monitoring the impacts of isolation [ 43 ]. Quantitative EEGs (qEEGs) may be better suited for this process as they are able to capture long-term changes more effectively compared than typical EEG techniques [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Electroencephalograms (EEGs) are widely used to monitor pediatric patients in hospitals, particularly in specialized intensive care units, and would be useful to leverage for monitoring the impacts of isolation [ 43 ]. Quantitative EEGs (qEEGs) may be better suited for this process as they are able to capture long-term changes more effectively compared than typical EEG techniques [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children

et al. 2023

View full text Add to dashboard Cite

The main objective of this study was to describe the cortical patterns of brain activity during a gross dexterity task and develop a behavioral profile of children experiencing isolation. A cross-sectional assessment was conducted during one visit. Sample: Four pediatric patients who had undergone isolation within a hospital comprised the full data collection. During the collection, participants completed the Box and Blocks Test of gross manual dexterity while undergoing imaging of the motor cortex using functional near-infrared spectroscopy. Participants also completed a Behavioral Assessment System for Children, Third Edition (BASC-3) self-report, which was analyzed along with a parent report to quantify their emotional and social behaviors. All participants displayed lower gross dexterity levels than normative data. Furthermore, three out of the four participants displayed ipsilateral dominance of the motor cortex during the dexterity task. Three of the participants displayed behavioral measures reported within clinically significant or at-risk scores. Clinically significant behavioral scores coupled with lower than expected manual dexterity values and ipsilateral hemispheric dominance indicate that neuroplastic changes can occur in populations undergoing hospitalized isolation. While the impacts of the treatments and isolation in this case cannot be separated, further studies should be conducted to understand these impacts of isolation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children

et al. 2023

View full text Add to dashboard Cite

show abstract

“…This section discusses key updates on selected neuromonitoring modalities currently in clinical use in PNCC. For an in-depth summary of each modality, the reader is referred to recent reviews on noninvasive 106 107 and invasive 108 neuromonitoring in the pediatric population.…”

Section: Neuromonitoring and Neuroprotectionmentioning

confidence: 99%

“…10 204 Benedetti and colleagues review the different qEEG trends and their clinical applications in children. 107 qEEG trends like amplitude EEG (aEEG) and color spectrograms also enable screening for seizures in real time at the bedside, which may expedite their treatment. Critical care medicine providers can use qEEG to recognize seizures on qEEG with good sensitivity (70–100%).…”

Section: Neuromonitoring and Neuroprotectionmentioning

confidence: 99%

Update in Pediatric Neurocritical Care: What a Neurologist Caring for Critically Ill Children Needs to Know

Plante,

Basu,

Gettings

et al. 2024

Semin Neurol

View full text Add to dashboard Cite

Currently nearly one-quarter of admissions to pediatric intensive care units (PICUs) worldwide are for neurocritical care diagnoses that are associated with significant morbidity and mortality. Pediatric neurocritical care is a rapidly evolving field with unique challenges due to not only age-related responses to primary neurologic insults and their treatments but also the rarity of pediatric neurocritical care conditions at any given institution. The structure of pediatric neurocritical care services therefore is most commonly a collaborative model where critical care medicine physicians coordinate care and are supported by a multidisciplinary team of pediatric subspecialists, including neurologists. While pediatric neurocritical care lies at the intersection between critical care and the neurosciences, this narrative review focuses on the most common clinical scenarios encountered by pediatric neurologists as consultants in the PICU and synthesizes the recent evidence, best practices, and ongoing research in these cases. We provide an in-depth review of (1) the evaluation and management of abnormal movements (seizures/status epilepticus and status dystonicus); (2) acute weakness and paralysis (focusing on pediatric stroke and select pediatric neuroimmune conditions); (3) neuromonitoring modalities using a pathophysiology-driven approach; (4) neuroprotective strategies for which there is evidence (e.g., pediatric severe traumatic brain injury, post–cardiac arrest care, and ischemic stroke and hemorrhagic stroke); and (5) best practices for neuroprognostication in pediatric traumatic brain injury, cardiac arrest, and disorders of consciousness, with highlights of the 2023 updates on Brain Death/Death by Neurological Criteria. Our review of the current state of pediatric neurocritical care from the viewpoint of what a pediatric neurologist in the PICU needs to know is intended to improve knowledge for providers at the bedside with the goal of better patient care and outcomes.

show abstract