Technical standards for recording and interpretation of neonatal electroencephalogram in clinical practice

Annals of Indian Academy of Neurology

Volumn 12, Issue 1, 2009, Pages 58-70

  Cherian, Perumpillichira J ^a   Swarte, Renate M ^a   Visser, Gerhard H ^a  

^a ERASMUS MEDICAL CENTER   (Netherlands)

Author keywords

Amplitude integrated EEG; Electroencephalogram monitoring; Hypoxic ischemic encephalopathy; Neonatal electroencephalogram; Neonatal seizures

Indexed keywords

ARTICLE; BRAIN FUNCTION; BRAIN MATURATION; CLINICAL PRACTICE; DETERIORATION; ELECTROENCEPHALOGRAM; HUMAN; NEWBORN; NEWBORN MONITORING; PROGNOSIS; SEIZURE; STANDARD;

EID: 64149105412     PISSN: 09722327     EISSN: 19983549     Source Type: Journal    
DOI: 10.4103/0972-2327.48869     Document Type: Article

References (84)

1. Engle WA; American Academy of Pediatrics Committee on Fetus and Newborn. Age terminology during the perinatal period. Pediatrics 2004;114:1362-4.
2. Bye AM, Lee D, Naidoo D, Flanagan D. The effects of morphine and midazolam on EEGs in neonates. J Clin Neurosci 1997;4:173-5.
3. De Weerd AW, Despland PA, Plouin P. Neonatal EEG. The international federation of clinical neurophysiology. Electroencephalogr Clin Neurophysiol Suppl 1999;52:149-57.
4. Biagioni E, Boldrini A, Giganti F, Guzzetta A, Salzarulo P, Cioni G. Distribution of sleep and wakefulness EEG patterns in 24-h recordings of preterm and full-term newborns. Early Hum Dev 2005;81:333-9.
5. Watanabe K, Miyazaki S, Hara K, Hakamada S. Behavioral state cycles, background EEGs and prognosis of newborns with perinatal hypoxia. Electroencephalogr Clin Neurophysiol 1980;49:618-25.
6. Osredkar D, Toet MC, van Rooij LG, van Huffelen AC, Groenendaal F, de Vries LS. Sleep-wake cycling on amplitude-integrated electroencephalography in term newborns with hypoxic ischemic encephalopathy. Pediatrics 2005;115:327-32.
7. Tekgul H, Bourgeois BF, Gauvreau K, Bergin AM. Electroencephalography in neonatal seizures: Comparison of a reduced and a full 10/20 montage. Pediatr Neurol 2005;32: 155-61.
8. Atcherson SR, Gould HJ, Pousson MA, Prout TM. Variability of electrode positions using electrode caps. Brain Topogr 2007;20:105-11.
9. Ellingson RJ, Peters JF, Nelson B. Respiratory pauses and apnea during daytime sleep in normal infants during the first year of life: Longitudinal observations. Electroencephalogr Clin Neurophysiol 1982;53:48-59.
10. Waite SP, Thoman EB. Periodic apnea in the full-term infant: Individual consistency, sex differences, and state specificity. Pediatrics 1982;70:79-86.
11. Glotzbach SF, Baldwin RB, Lederer NE, Tansey PA, Ariagno RL. Periodic breathing in preterm infants: Incidence and characteristics. Pediatrics 1989;84:785-92.
12. Biagioni E, Frisone MF, Laroche S, Kapetanakis BA, Ricci D, Adeyi-Obe M, et al. Maturation of cerebral electrical activity and development of cortical folding in young very preterm infants. Clin Neurophysiol 2007;118:53-9.
13. Vanhatalo S, Kaila K. Development of neonatal EEG activity: From phenomenology to physiology. Semin Fetal Neonatal Med 2006;11:471-8.
14. Lamblin MD, Andre M, Challamel MJ, Curzi-Dascalova L, d'Allest AM, De Giovanni E, et al. Electroencephalography of the premature and term newborn. Maturational aspects and glossary. Neurophysiol Clin 1999;29:123-219.
15. Vanhatalo S, Palva JM, Andersson S, Rivera C, Voipio J, Kaila K. Slow endogenous activity transients and developmental expression of K+ - Cl- cotransporter 2 in the immature human cortex. Eur J Neurosci 2005;22:2799-804.
16. Tolonen M, Palva JM, Andersson S, Vanhatalo S. Development of spontaneous activity transients and ongoing cortical activity in human preterm babies. Neuroscience 2007;30:997-1006.
17. Khazipov R, Luhmann HJ. Early patterns of electrical activity in the developing cerebral cortex of humans and rodents. Trends Neurosci 2006;29:414-8.
18. Khazipov R, Sirota A, Leinekugel X, Holmes GL, Ben-Ari Y, Buzsaki G. Early motor activity drives spindle bursts in the developing somatosensory cortex. Nature 2004;432:758-61.
19. Marret S, Parain D, Jeannot E, Eurin D, Fessard C. Positive rolandic sharp waves in the EEG of the premature newborn: A fi ve year prospective study. Arch Dis Child 1992;67:948-51.
20. Castro Conde JR, Martinez ED, Campo CG, Perez AM, McLean ML. Positive temporal sharp waves in preterm infants with and without brain ultrasound lesions. Clin Neurophysiol 2004;115: 2479-88.
21. Hayakawa F, Watanabe K, Hakamada S, Kuno K, Aso K. Fz theta /alpha bursts: A transient EEG pattern in healthy newborns. Electroencephalogr Clin Neurophysiol 1987;67:27-31.
22. Crippa AC, Silvado CE, Paola L, Scola RH, Fernandes RM, Werneck LC. Analysis of frontal sharp transients in 32 neonatal polysomnography in healthy fullterm newborns. Arq Neuropsiquiatr 2007;65:222-7.
23. Biagioni E, Bartalena L, Boldrini A, Pieri R, Cioni G. Constantly discontinuous EEG patterns in full-term neonates with hypoxic-ischaemic encephalopathy. Clin Neurophysiol 1999;110:1510-5.
24. Lombroso CT. Neonatal polygraphy in full-term and premature infants: A review of normal and abnormal findings. J Clin Neurophysiol 1985;2:105-55.
25. Pezzani C, Radvanyi-Bouvet MF, Relier JP, Monod N. Neonatal electroencephalography during the first twenty-four hours of life in full-term newborn infants. Neuropediatrics 1986;17:11-8.
26. Menache CC, Bourgeois BF, Volpe JJ. Prognostic value of neonatal discontinuous EEG. Pediatr Neurol 2002;27:93-101.
27. Sinclair DB, Campbell M, Byrne P, Prasertsom W, Robertson CM. EEG and long-term outcome of term infants with neonatal hypoxic-ischemic encephalopathy. Clin Neurophysiol 1999;110:655-9.
28. Thordstein M, Flisberg A, Lofgren N, Bagenholm R, Lindecrantz K, Wallin BG, et al. Spectral analysis of burst periods in EEG from healthy and post-asphyctic full-term neonates. Clin Neurophysiol 2004;115:2461-6.
29. Grigg-Damberger MM, Coker SB, Hasley CL, Anderson CL. Neonatal burst suppression: its developmental significance. Pediatr Neurol 1989;5:84-92.
30. Nunes ML, Giraldes MM, Pinho AP, Costa JC. Prognostic value of non-reactive burst suppression EEG pattern associated to early neonatal seizures. Arq Neuropsiquiatr 2005;63:14-9.
31. van Leuven K, Groenendaal F, Toet MC, Schobben AF, Bos SA, de Vries LS, et al. Midazolam and amplitude-integrated EEG in asphyxiated full-term neonates. Acta Paediatr 2004;93:1221-7.
32. ter Horst HJ, Brouwer OF, Bos AF. Burst suppression on amplitude-integrated electroencephalogram may be induced by midazolam: A report on three cases. Acta Paediatr 2004;93: 559-63.
33. Volpe JJ. Neurology of the newborn. 5th ed. Philadelphia: Saunders WB; 2008.
34. Shewmon DA. What is a neonatal seizure? Problems in defi nition and quantification for investigative and clinical purposes. J Clin Neurophysiol 1990;7:315-68.
35. Oliveira AJ, Nunes ML, Haertel LM, Reis FM, da Costa JC. Duration of rhythmic EEG patterns in neonates: New evidence for clinical and prognostic significance of brief rhythmic discharges. Clin Neurophysiol 2000;111:1646-53.
36. Holmes GL, Ben-Ari Y. Seizures in the developing brain: Perhaps not so benign after all. Neuron 1998;21:1231-4.
37. Ben-Ari Y, Holmes GL. Effects of seizures on developmental processes in the immature brain. Lancet Neurol 2006;5:1055-63.
38. Liu Z, Yang Y, Silveira DC, Sarkisian MR, Tandon P, Huang LT, et al. Consequences of recurrent seizures during early brain development. Neuroscience 1999;92:1443-54.
39. McBride MC, Laroia N, Guillet R. Electrographic seizures in neonates correlate with poor neurodevelopmental outcome. Neurology 2000;55:506-13.
40. Miller SP, Weiss J, Barnwell A, Ferriero DM, Latal-Hajnal B, Ferrer-Rogers A, et al. Seizure-associated brain injury in term newborns with perinatal asphyxia. Neurology 2002;58:542-8.
41. Wirrell EC, Armstrong EA, Osman LD, Yager JY. Prolonged seizures exacerbate perinatal hypoxic-ischemic brain damage. Pediatr Res 2001;50:445-54.
42. Sarnat HB, Sarnat MS. Neonatal encephalopathy following fetal distress: A clinical and electroencephalographic study. Arch Neurol 1976;33:696-705.
43. Connell J, Oozeer R, de Vries L, Dubowitz LM, Dubowitz V. Continuous EEG monitoring of neonatal seizures: Diagnostic and prognostic considerations. Arch Dis Child 1989;64:452-8.
44. Cherian PJ, Swarte RM, Blok JH, Broker-Schenk PM, Visser GH. Ictal nystagmus in a newborn baby after birth asphyxia. Clin EEG Neurosci 2006;37:41-5.
45. Clancy RR, Legido A, Lewis D. Occult neonatal seizures. Epilepsia 1988;29:256-61.
46. Mizrahi EM, Kellaway P. Characterization and classification of neonatal seizures. Neurology 1987;37:1837-44.
47. Scher MS, Painter MJ, Bergman I, Barmada MA, Brunberg J. EEG diagnoses of neonatal seizures: Clinical correlations and outcome. Pediatr Neurol 1989;5:17-24.
48. Connell J, Oozeer R, de Vries L, Dubowitz LM, Dubowitz V. Clinical and EEG response to anticonvulsants in neonatal seizures. Arch Dis Child 1989;64:459-64.
49. Hellstrom-Westas L, Rosen I, Swenningsen NW. Silent seizures in sick infants in early life: Diagnosis by continuous cerebral function monitoring. Acta Paediatr Scand 1985;74:741-8.
50. Murray DM, Boylan GB, Ali I, Ryan CA, Murphy BP, Connolly S. Defining the gap between electrographic seizure burden, clinical expression and staff recognition of neonatal seizures. Arch Dis Child Fetal Neonatal Ed 2008;93:F187-91.
51. Scher MS, Alvin J, Gaus L, Minnigh B, Painter MJ. Uncoupling of EEG-clinical neonatal seizures after antiepileptic drug use. Pediatr Neurol 2003;28:277-80.
52. Liu A, Hahn JS, Heldt GP, Coen RW. Detection of neonatal seizures through computerized EEG analysis. Electroencephalogr Clin Neurophysiol 1992;82:363-9.
53. Gotman J, Flanagan D, Zhang J, Rosenblatt B. Automatic seizure detection in the newborn: Methods and initial evaluation. Electroencephalogr Clin Neurophysiol 1997;103:356-62.
54. Celka P, Colditz P. A computer-aided detection of EEG seizures in infants: A singular-spectrum approach and performance comparison. IEEE Trans Biomed Eng 2002;49:455-62.
55. Navakatikyan MA, Colditz PB, Burke CJ, Inder TE, Richmond J, Williams CE. Seizure detection algorithm for neonates based on wave-sequence analysis. Clin Neurophysiol 2006;117:1190-203.
56. Aarabi A, Wallois F, Grebe R. Automated neonatal seizure detection: A multistage classification system through feature selection based on relevance and redundancy analysis. Clin Neurophysiol 2006;117:328-40.
57. Greene BR, Boylan GB, Reilly RB, de Chazal P, Connolly S. Combination of EEG and ECG for improved automatic neonatal seizure detection. Clin Neurophysiol 2007;118:1348-59.
58. Karayiannis NB, Tao G, Xiong Y, Sami A, Varughese B, Frost JD Jr, et al. Computerized motion analysis of videotaped neonatal seizures of epileptic origin. Epilepsia 2005;46:901-17.
59. Cherian PJ, Blok JH, Swarte RM, Govaert P, Visser GH. Heart rate changes are insensitive for detecting postasphyxial seizures in neonates. Neurology 2006;67:2221-3.
60. Deburchgraeve W, Cherian PJ, De Vos M, Swarte RM, Blok JH, Visser GH, et al. Automated neonatal seizure detection mimicking a human observer reading EEG. Clin Neurophysiol 2008;119:2447-54.
61. Laroia N, Guillet R, Burchfiel J, McBride MC. EEG background as predictor of electrographic seizures in high-risk neonates. Epilepsia 1998;39:545-51.
62. Toet MC, Groenendaal F, Osredkar D, van Huffelen AC, de Vries LS. Postneonatal epilepsy following amplitude-integrated EEG-detected neonatal seizures. Pediatr Neurol 2005;32:241-7.
63. Painter MJ, Scher MS, Stein AD, Armatti S, Wang Z, Gardiner JC, et al. Phenobarbital compared with phenytoin for the treatment of neonatal seizures. N Engl J Med 1999;341:485-9.
64. Bye AM, Flanagan D. Spatial and temporal characteristics of neonatal seizures. Epilepsia 1995;36:1009-16.
65. Boylan GB, Rennie JM, Chorley G, Pressler RM, Fox GF, Farrer K, et al. Second-line anticonvulsant treatment of neonatal seizures: A video-EEG monitoring study. Neurology 2004;62:486-8.
66. al Naqeeb N, Edwards D, Cowan FM, Azzopardi D. Assessment of neonatal encephalopathy by amplitude-integrated electroencephalography. Pediatrics 1999;103:1263-71.
67. Hellström-Westas L, Rosén I, Svenningsen NW. Predictive value of early continuous amplitude integrated EEG recordings on outcome after severe birth asphyxia in full term infants. Arch Dis Child Fetal Neonatal Ed 1995;72:F34-8.
68. Toet MC, Hellström-Westas L, Groenendaal F, Eken P, de Vries LS. Amplitude integrated EEG 3 and 6 hours after birth in full-term neonates with hypoxic-ischaemic encephalopathy. Arch Dis Child Fetal Neonatal Ed 1999;81:F19-23.
69. Hellstrom-Westas L, Rosen I. Continuous brain-function monitoring: state of the art in clinical practice. Semin Fetal Neonatal Med 2006;11:503-11.
70. Hellström-Westas L, Rosén I, de Vries LS, Greisen G. Amplitude-integrated EEG classification and interpretation in preterm and term infants. NeoReviews 2006;7:e76-87.
71. Toet MC, van der Meij W, de Vries LS, Uiterwaal CS, van Huffelen KC. Comparison between simultaneously recorded amplitude integrated electroencephalogram (cerebral function monitor) and standard electroencephalogram in neonates. Pediatrics 2002;109:772-9.
72. Rennie JM, Chorley G, Boylan GB, Pressler R, Nguyen Y, Hooper R. Non-expert use of the cerebral function monitor for neonatal seizure detection. Arch Dis Child Fetal Neonatal Ed 2004;89:F37-40.
73. Cherian PJ, Swarte RM, Blok JH, Visser GH. The accuracy of aEEG in detecting post-asphyxial neonatal seizures. Ann Neurol 2006;60:S138.
74. de Vries LS, Toet MC. Amplitude integrated electroencephalography in the full-term newborn. Clin Perinatol 2006;33:619-32 vi.
75. de Vries NK, Ter Horst HJ, Bos AF. The added value of simultaneous EEG and amplitude-integrated EEG recordings in three newborn infants. Neonatology 2007;91:212-6.
76. Freeman JM. The use of amplitude-integrated electroencephalography: Beware of its unintended consequences. Pediatrics 2007;119:615-7.
77. Holmes GL, Lombroso CT. Prognostic value of background patterns in the neonatal EEG. J Clin Neurophysiol 1993;10:323-52.
78. Majnemer A, Rosenblatt B, Riley PS. Prognostic significance of multimodality evoked response testing in high-risk newborns. Pediatr Neurol 1990;6:367-74.
79. Scalais E, Francois-Adant A, Nuttin C, Bachy A, Guerit JM. Multimodality evoked potentials as a prognostic tool in term asphyxiated newborns. Electroencephalogr Clin Neurophysiol 1998;108:199-207.
80. Zeinstra E, Fock JM, Begeer JH, van Weerden TW, Maurits NM, Zweens MJ. The prognostic value of serial EEG recordings following acute neonatal asphyxia in full-term infants. Eur J Paediatr Neurol 2001;5:155-60.
81. Nabbout R, Soufflet C, Plouin P, Dulac O. Pyridoxine dependent epilepsy: A suggestive electroclinical pattern. Arch Dis Child Fetal Neonatal Ed 1999;81:F125-9.
82. Mikati MA, Feraru E, Krishnamoorthy K, Lombroso CT. Neonatal herpes simplex meningoencephalitis: EEG investigations and clinical correlates. Neurology 1990;40:1433-7.
83. Chen PT, Young C, Lee WT, Wang PJ, Peng SS, Shen YZ. Early epileptic encephalopathy with suppression burst electroencephalographic pattern: An analysis of eight Taiwanese patients. Brain Dev 2001;23:715-20.
84. Ohtahara S, Yamatogi Y. Epileptic encephalopathies in early infancy with suppression-burst. J Clin Neurophysiol 2003;20:398-407.