EEG as an Indicator of Cerebral Functioning in Postanoxic Coma

Elsa Juan, Peter W Kaplan, Mauro Oddo, Andrea O. Rossetti

Research output: Contribution to journalArticle

Abstract

Postanoxic coma after cardiac arrest is one of the most serious acute cerebral conditions and a frequent cause of admission to critical care units. Given substantial improvement of outcome over the recent years, a reliable and timely assessment of clinical evolution and prognosis is essential in this context, but may be challenging. In addition to the classic neurologic examination, EEG is increasingly emerging as an important tool to assess cerebral functions noninvasively. Although targeted temperature management and related sedation may delay clinical assessment, EEG provides accurate prognostic information in the early phase of coma. Here, the most frequently encountered EEG patterns in postanoxic coma are summarized and their relations with outcome prediction are discussed. This article also addresses the influence of targeted temperature management on brain signals and the implication of the evolution of EEG patterns over time. Finally, the article ends with a view of the future prospects for EEG in postanoxic management and prognostication.

Original languageEnglish (US)
Pages (from-to)465-471
Number of pages7
JournalJournal of Clinical Neurophysiology
Volume32
Issue number6
DOIs
StatePublished - Dec 1 2015

Fingerprint

Coma
Electroencephalography
Temperature
Neurologic Examination
Critical Care
Heart Arrest
Brain

Keywords

  • Cardiac arrest
  • EEG
  • EEG features
  • Hypothermia
  • Intensive care unit
  • Outcome
  • Postanoxic coma
  • Prognosis
  • Temperature

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology
  • Physiology (medical)

Cite this

EEG as an Indicator of Cerebral Functioning in Postanoxic Coma. / Juan, Elsa; Kaplan, Peter W; Oddo, Mauro; Rossetti, Andrea O.

In: Journal of Clinical Neurophysiology, Vol. 32, No. 6, 01.12.2015, p. 465-471.

Research output: Contribution to journalArticle

Juan, Elsa ; Kaplan, Peter W ; Oddo, Mauro ; Rossetti, Andrea O. / EEG as an Indicator of Cerebral Functioning in Postanoxic Coma. In: Journal of Clinical Neurophysiology. 2015 ; Vol. 32, No. 6. pp. 465-471.
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