Intracranial Electroencephalography in Pediatric Severe Traumatic Brain Injury

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Challenges and Opportunities in Multimodal Monitoring and Data Analytics in Traumatic Brain Injury

Challenges and Opportunities in Multimodal Monitoring and Data Analytics in Traumatic Brain Injury

Brian Appavu, Stephen Foldes, M'hamed Temkit, Austin Jacobson, Brian T Burrows, Danni Brown, Varina Boerwinkle, Iris Marku, P David Adelson

Abstract

Objectives: Electroencephalography is used in neurocritical care for detection of seizures and assessment of cortical function. Due to limited resolution from scalp electroencephalography, important abnormalities may not be readily detectable. We aimed to identify whether intracranial electroencephalography allows for improved methods of monitoring cortical function in children with severe traumatic brain injury.

Design: This is a retrospective cohort study from a prospectively collected clinical database. We investigated the occurrence rate of epileptiform abnormalities detected on intracranial electroencephalography when compared with scalp electroencephalography. We also investigated the strength of association of quantitative electroencephalographic parameters and cerebral perfusion pressure between both intracranial and scalp electroencephalography.

November 15, 2023
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