Title |
The Ictal–Interictal Continuum: To Treat or Not to Treat (and How)?
|
---|---|
Published in |
Neurocritical Care, November 2017
|
DOI | 10.1007/s12028-017-0477-5 |
Pubmed ID | |
Authors |
Clio Rubinos, Alexandra S. Reynolds, Jan Claassen |
Abstract |
Continuous electroencephalography (cEEG) monitoring is becoming increasingly used in neurologic and non-neurologic intensive care units (ICUs). Non-convulsive seizures (NCSz) and periodic discharges (PDs) are commonly seen in critically ill patients. Some of these PD patterns, also known as the ictal-interictal continuum (IIC), are associated with an increased risk of seizures and poor outcome. However, we do not fully understand the significance of these periodic patterns and the decision of how aggressively to treat remains controversial. IIC patterns are associated with pathophysiologic changes that closely resemble those of seizures. Here we make the argument that, rather than feature description on EEG, associated changes in brain physiology should dictate management choices. |
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United Kingdom | 1 | 9% |
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Canada | 1 | 9% |
Unknown | 4 | 36% |
Demographic breakdown
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Members of the public | 7 | 64% |
Scientists | 1 | 9% |
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Science communicators (journalists, bloggers, editors) | 1 | 9% |
Unknown | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 76 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 22 | 29% |
Student > Ph. D. Student | 11 | 14% |
Other | 8 | 11% |
Professor > Associate Professor | 5 | 7% |
Student > Doctoral Student | 5 | 7% |
Other | 17 | 22% |
Unknown | 8 | 11% |
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Agricultural and Biological Sciences | 1 | 1% |
Other | 5 | 7% |
Unknown | 13 | 17% |