A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures

Maliheh Kadivar, Elahe Movahedi Moghadam, Reza Shervin Badv, Raziye Sangsari, Maryam Saeedy Department of Neonatology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, IranCorrespondence: Elahe Movahedi MoghadamNeonatal Health Research Center, Research Institute fo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kadivar M, Moghadam EM, Shervin Badv R, Sangsari R, Saeedy M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	conventional electroencephalography amplitude-integrated eeg neonatal seizures Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/28a455ab618f40d7bb9be9368146c96e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:28a455ab618f40d7bb9be9368146c96e
record_format	dspace
spelling	oai:doaj.org-article:28a455ab618f40d7bb9be9368146c96e2021-12-02T06:39:37ZA Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures1179-1470https://doaj.org/article/28a455ab618f40d7bb9be9368146c96e2019-12-01T00:00:00Zhttps://www.dovepress.com/a-comparison-of-conventional-electroencephalography-with-amplitude-int-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Maliheh Kadivar, Elahe Movahedi Moghadam, Reza Shervin Badv, Raziye Sangsari, Maryam Saeedy Department of Neonatology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, IranCorrespondence: Elahe Movahedi MoghadamNeonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, IranEmail elahehmovahedi@protonmail.comIntroduction: Amplitude-integrated electroencephalogram (aEEG) is widely used in Neonatal Intensive Care Units (NICUs) to monitor neonatal seizures. This method is still not well established compared to conventional electroencephalogram (cEEG), the diagnostic gold standard. However, aEEG can be a good screening tool for the diagnosis of seizures in infants. Our aim in this review study is to evaluate aEEG diagnostic accuracy in comparison with cEEG, for detection of neonatal seizures.Methods: In this work, we studied the published articles which used EEG and aEEG in the evaluation process of seizures in neonates and compared these techniques to obtain an approach for the detection of neonatal seizures.Results: Seventeen articles were included. Using aEEG with raw trace to detect individual seizures showed median sensitivity of 78% (range: 68–85) and median specificity of 78% (range: 71–84). The median sensitivity and specificity were 54% (range: 25–95) and 81% (range: 50–100), respectively, in case of using aEEG without raw traces. Brief duration seizures and those occurring away from aEEG leads were less detected.Conclusion: Studies showed that aEEG has variable sensitivity and specificity. Based on the evidences, aEEG cannot be recommended as the only way for diagnosis and management of seizures in neonates; however, it could complete the diagnosis of seizures in the infant and could be a very good tool for screening seizures.Keywords: conventional electroencephalography, amplitude-integrated EEG, neonatal seizuresKadivar MMoghadam EMShervin Badv RSangsari RSaeedy MDove Medical Pressarticleconventional electroencephalographyamplitude-integrated eegneonatal seizuresMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 12, Pp 489-496 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	conventional electroencephalography amplitude-integrated eeg neonatal seizures Medical technology R855-855.5
spellingShingle	conventional electroencephalography amplitude-integrated eeg neonatal seizures Medical technology R855-855.5 Kadivar M Moghadam EM Shervin Badv R Sangsari R Saeedy M A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures
description	Maliheh Kadivar, Elahe Movahedi Moghadam, Reza Shervin Badv, Raziye Sangsari, Maryam Saeedy Department of Neonatology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, IranCorrespondence: Elahe Movahedi MoghadamNeonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, IranEmail elahehmovahedi@protonmail.comIntroduction: Amplitude-integrated electroencephalogram (aEEG) is widely used in Neonatal Intensive Care Units (NICUs) to monitor neonatal seizures. This method is still not well established compared to conventional electroencephalogram (cEEG), the diagnostic gold standard. However, aEEG can be a good screening tool for the diagnosis of seizures in infants. Our aim in this review study is to evaluate aEEG diagnostic accuracy in comparison with cEEG, for detection of neonatal seizures.Methods: In this work, we studied the published articles which used EEG and aEEG in the evaluation process of seizures in neonates and compared these techniques to obtain an approach for the detection of neonatal seizures.Results: Seventeen articles were included. Using aEEG with raw trace to detect individual seizures showed median sensitivity of 78% (range: 68–85) and median specificity of 78% (range: 71–84). The median sensitivity and specificity were 54% (range: 25–95) and 81% (range: 50–100), respectively, in case of using aEEG without raw traces. Brief duration seizures and those occurring away from aEEG leads were less detected.Conclusion: Studies showed that aEEG has variable sensitivity and specificity. Based on the evidences, aEEG cannot be recommended as the only way for diagnosis and management of seizures in neonates; however, it could complete the diagnosis of seizures in the infant and could be a very good tool for screening seizures.Keywords: conventional electroencephalography, amplitude-integrated EEG, neonatal seizures
format	article
author	Kadivar M Moghadam EM Shervin Badv R Sangsari R Saeedy M
author_facet	Kadivar M Moghadam EM Shervin Badv R Sangsari R Saeedy M
author_sort	Kadivar M
title	A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures
title_short	A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures
title_full	A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures
title_fullStr	A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures
title_full_unstemmed	A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures
title_sort	comparison of conventional electroencephalography with amplitude-integrated eeg in detection of neonatal seizures
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/28a455ab618f40d7bb9be9368146c96e
work_keys_str_mv	AT kadivarm acomparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT moghadamem acomparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT shervinbadvr acomparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT sangsarir acomparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT saeedym acomparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT kadivarm comparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT moghadamem comparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT shervinbadvr comparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT sangsarir comparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures AT saeedym comparisonofconventionalelectroencephalographywithamplitudeintegratedeegindetectionofneonatalseizures
_version_	1718399802300956672

A Comparison Of Conventional Electroencephalography With Amplitude-Integrated EEG In Detection Of Neonatal Seizures

Ejemplares similares