Abstract
The ictal-interictal continuum (IIC) is characterized by periodic and/or rhythmic EEG patterns that occur with relative high frequency in critically ill patients. Several studies have reported that some patterns seen within the continuum are independently associated with poor outcome. However there is no consensus regarding when to treat them or how aggressive treatment should be. In this review we examine peer-reviewed original scientific articles, guidelines and reviews indexed in PubMed and summarize current knowledge related to the ictal-interictal continuum. A treatment algorithm to guide management of critically ill patients with EEG patterns that fall along the IIC is proposed. The algorithm-based on best current practice in adults-takes into account associated clinical events, risk factors for developing seizures, response to medication trials and biomarkers of neuronal injury.
| Original language | English |
|---|---|
| Pages (from-to) | 2056-64 |
| Number of pages | 9 |
| Journal | Clinical Neurophysiology |
| Volume | 127 |
| Issue number | 4 |
| Early online date | 11 Feb 2016 |
| DOIs | |
| Publication status | Published - Apr 2016 |
Bibliographical note
Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd.Keywords
- Adult
- Aged
- Algorithms
- Critical Illness
- Electroencephalography
- Female
- Humans
- Intensive Care Units
- Male
- Risk Factors
- Seizures
- Treatment Outcome
- Case Reports
- Journal Article
- Review