Multi-Modal EEG Monitoring of Severely Neurologically Ill Patients

360 Pages·2021·49.61 MB·English

by  Xuefeng Wang, Feng Li, Suyue Pan

Multi-Modal EEG
Monitoring of Severely
Neurologically Ill
Patients
Xuefeng Wang
Feng Li
Suyue Pan
Editors
123
Multi-Modal EEG Monitoring of Severely
Neurologically Ill Patients
Xuefeng Wang • Feng Li • Suyue Pan
Editors
Multi-Modal EEG
Monitoring of Severely
Neurologically Ill
Patients
Editors
Xuefeng Wang Feng Li
Department of Neurology Department of Neurology
The First Affiliated Hospital of The First Affiliated Hospital of
Chongqing Medical University Chongqing Medical University
Chongqing Chongqing
China China
Suyue Pan
Department of Neurology
Nanfang Hospital of Southern Medical
University
Guangzhou
Guangdong
China
ISBN 978-981-16-4492-4 ISBN 978-981-16-4493-1 (eBook)
https://doi.org/10.1007/978-981-16-4493-1
© Springer Nature Singapore Pte Ltd. 2022
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher,
whether the whole or part of the material is concerned, specifically the rights of, reprinting, reuse
of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical
way, and transmission or information storage and retrieval, electronic adaptation, computer
software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in
this book are believed to be true and accurate at the date of publication. Neither the publisher nor
the authors or the editors give a warranty, expressed or implied, with respect to the material
contained herein or for any errors or omissions that may have been made. The publisher remains
neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.
The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore
189721, Singapore
Contents
Part I Electroencephalogram (EEG) Basis and Quantitative
Electroencephalogram (qEEG) Technology
1 Basic Theory of EEG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Guoxing Zhu, Yuangui Huang, and Xuefeng Wang
2 qEEG Monitoring System in Severely Ill Patients . . . . . . . . . . . . 27
Feng Li and Zhongming Huang
Part II I nterpretation and Clinical Significance
of Abnormal EEG in Severely Ill Patients
3 Common Abnormal EEG in Neurocritical Ill Patients . . . . . . . . 61
Qun Wang, Feng Li, Xiaoyi Li, and Ying Zhang
4 Abnormal EEG Background Activity . . . . . . . . . . . . . . . . . . . . . . 123
Xuefeng Wang and Yin Yan
5 Patterns and Clinical Significance
of Abnormal Sleep EEG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Yuping Wang and Yicong Lin
Part III A pplication of Multimodal EEG
in Severely Ill Patients
6 Application of Multimodal EEG in Coma Patients . . . . . . . . . . . 161
Xin Tian and Feng Li
7 Application of Multimodal EEG in HIE . . . . . . . . . . . . . . . . . . . . 177
Feng Li and Lihong Huang
8 Application of Multimodal EEG in SE . . . . . . . . . . . . . . . . . . . . . 197
Xuefeng Wang, Jiyuan Li, and Wei Jing
9 Clinical Application of Multimodal EEG
in Acute Ischemic Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
Shengnian Zhou and Suyue Pan
10 Application of Multimodal EEG in TBI . . . . . . . . . . . . . . . . . . . . 243
Wei Dan and Xuefeng Wang
v
vi Contents
11 Application of Multimodal EEG in AE . . . . . . . . . . . . . . . . . . . . . 275
Qun Wang and Xuefeng Wang
12 Application of Multimodal EEG in ICP Monitoring . . . . . . . . . . 287
Wei Dan and Weina Chai
13 Application of Multimodal EEG in Sedation
and Analgesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295
Suyue Pan and Yao Wang
14 Application of Multimodal EEG in Predicting
the Risk of Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
Xiaojiang Jiang and Li Kuang
15 Application of Multimodal EEG in the Determination
of Brain Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
Feng Li
16 Application of the BIS in the ICU . . . . . . . . . . . . . . . . . . . . . . . . . 335
Suyue Pan and Yongming Wu
17 Application of aEEG in Severely Ill Patients . . . . . . . . . . . . . . . . 347
Yuanfeng Zhou and Feng Li
Contributors1
1 The names on the list are in alphabetical order.
Feng  Li Department of Neurology, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Guoxing  Zhu Department of Neurology, Huashan Hospital, Fudan
University, Shanghai, China
Jiyuan Li Department of Neurology, The First Hospital of Shanxi Medical
University, Taiyuan, Shanxi, China
Li  Kuang Department of Psychiatry, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Lihong Huang Department of Neurology, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Qun Wang Department of Neurology, Beijing Tiantan Hospital, Capital
Medical University, Beijing, China
Shengnian Zhou Department of Neurology, Qilu Hospital of Shandong
University and Brain Science Research Institute, Shandong University, Jinan,
Shandong, China
Suyue  Pan Department of Neurology, Nanfang Hospital of Southern
Medical University, Guangzhou, Guangdong, China
Wei Dan Department of Neurosurgery, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Wei Jing Department of Neurology, Shanxi Bethune Hospital Affiliated to
Shanxi Medical University, Taiyuan, Shanxi, China
Weina Chai Department of Neurosurgery, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Xiaojiang Jiang Department of Neurology, The Third Affiliated Hospital of
Army Medical University, Chongqing, China
Xiaoyi Li Department of Neurophysiology, Guizhou Provincial People’s
Hospital, Guiyang, Guizhou, China
Xin  Tian Department of Neurology, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
vii
viii Contributors
Xuefeng Wang Department of Neurology, The First Affiliated Hospital of
Chongqing Medical University, Chongqing, China
Yao Wang Department of Neurology, Nanfang Hospital of Southern Medical
University, Guangzhou, Guangdong, China
Yicong Lin Department of Neurology, Xuanwu Hospital, Capital Medical
University, Beijing, China
Yin Yan Department of Neurology, Chongqing University Central Hospital,
Chongqing Emergency Medical Center, Chongqing, China
Ying Zhang Department of Neurology, Xi’an International Medical Center
Hospital, Xian, Shaanxi, China
Yongming Wu Department of Neurology, Nanfang Hospital of Southern
Medical University, Guangzhou, Guangdong, China
Yuanfeng Zhou Department of Neurology, Children’s Hospital of Fudan
University, Shanghai, China
Yuangui Huang Department of Neurology, Xijing Hospital, The Fourth
Military Medical University, Xi’an, Shaanxi, China
Yuping Wang Department of Neurology, Xuanwu Hospital, Capital Medical
University, Beijing, China
Zhongming Huang Phecda (China) Limited, Guangzhou, China
List of Abbreviations
ABP Absolute band power
AC Alternating current
AC-ECoG Alternating current electrocorticography
ACC Anterior cingulate cortex
ACNS American Clinical Neurophysiology Society
ADHD Attention-deficit hyperactivity disorder
ADR α/δ Power ratio
AE Autoimmune encephalitis
AED Antiepileptic drug
AHI Apnea–hypopnea index
AMPAR α-Amino-3-hydroxy-5-methyl-1-4-isoxazolepropionic acid
receptor
AP Action potential
APACHEII Acute Physiology and Chronic Health Evaluation II
ATP Adenosine triphosphate
AUC Area under the curve
aEEG Amplitude-integrated electroencephalogram
aSAH Acute subarachnoid hemorrhage
BAEP Brainstem auditory evoked potential
BDNF Brain-derived neurotrophic factor
BERD Brief electroencephalogram rhythmic discharge
BIPD Bilateral independent periodic discharge
BIPLED Bilateral independent periodic epileptiform discharge
BIS Bispectral index
B(I)RD Brief (potentially) ictal rhythmic discharge
BRD Brief rhythmic discharge
BS Burst suppression
BSI Brain symmetry index
CANTB Cambridge Automated Neuropsychological Test Battery
CAP Cranial artery pressure
Caspr2 Contactin-associated protein-like 2
CBF Cerebral blood flow
CDSA Color density spectral array
CHD Congenital heart disease
CLV Continuous low voltage
CNS Central nervous system
CNV Continuous normal voltage
ix
x List of Abbreviations
COSBID Cooperative Studies on Brain Injury Depolarizations
CPAP Continuous positive airway pressure
CPC Cerebral Performance Category
CPCR Cardiopulmonary cerebral resuscitation
CPOT Critical Care Pain Observation Tool
CPR Cardiopulmonary resuscitation
CRRT Continuous renal replacement therapy
CRS-R Coma Recovery Scale-Revised
CSD Cortical spreading depolarization/cortical spreading
depression
CSE Convulsive status epilepticus
CSF Cerebrospinal fluid
CSI Cerebral state index
CT Computed tomography
CTA Computed tomography angiography
CTP Computed tomography perfusion
cEEG Continuous electroencephalogram
c/s Cycles per second
DAI Diffuse axonal injury
DC-ECoG Direct current electrocorticography
DFT Discrete Fourier transform
DNV Discontinuous normal voltage
DPFC Dorsal prefrontal cortex
DRS Disability Rating Scale
DTABR δ+θ/α+β Ratio
DWI Diffusion-weighted imaging
EBA Excessive β activity
ECG Electrocardiogram
ECI Electrocerebral inactivity
ECMO Extracorporeal membrane oxygenation
ECoG Electrocorticography
ECS Electrical silence
EDB Extreme δ brush
EEG Electroencephalogram
EEG-R EEG reactivity
EGDS Early goal-directed sedation
EIEE Early infantile epileptic encephalopathy
EME Early myoclonic encephalopathy
EMG Electromyography
EP Evoked potential
EPSP Excitatory postsynaptic potential
ERP Event-related potential
ET Envelope trend
FBDS Faciobrachial dystonic seizure
FDG F-deoxyglucose
FDG-PET F-deoxyglucose positron emission tomography
FFT Fast Fourier transform
FIRDA Frontal intermittent rhythmic δ activity