naa a22 4500 510800327 CHVBK 20180411083352.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12028-011-9650-4 doi (NATIONALLICENCE)springer-10.1007/s12028-011-9650-4 Continuous Electroencephalography (cEEG) Changes Precede Clinical Changes in a Case of Progressive Cerebral Edema [Elektronische Daten] [C. Newey, A. Sarwal, S. Hantus] Background: Continuous electroencephalogram (cEEG) is tightly linked to cerebral metabolism and is sensitive to cerebral ischemia and hypoxia. The severity of cerebral ischemia can be seen on cEEG as changes in morphology, amplitude, or frequency, and cEEG may detect neuronal dysfunction at a reversible stage. Methods: Case report and imaging. Results: We present a case of focal cerebral edema with changes seen on cEEG 24h before clinical signs of increased intracranial pressure. cEEG showed developing asymmetry in the left hemisphere followed by burst suppression. The right hemisphere showed similar progression to burst suppression. Complete suppression of both hemispheres was noted 6h before clinical signs of herniation. Computed tomography (CT) head confirmed a large left parietal intracerebral hematoma with mass effect. Conclusions: cEEG has applications in monitoring cerebral dysfunction in addition to detecting seizure activity in the intensive care unit. It may serve a vital role in multi-modality monitoring for early recognition of neurological complications from brain injuries that may not be noticed clinically, which is paramount to early intervention. Springer Science+Business Media, LLC, 2011 Continuous electroencephalogram nationallicence cEEG nationallicence Cerebral edema nationallicence Herniation nationallicence Newey C. Department of Adult Neurology, Cleveland Clinic, 9500 Euclid Avenue, 44195-5245, Cleveland, OH, USA aut Sarwal A. Neurologic Institute, Cleveland Clinic, Cerebrovascular Disease Center, 9500 Euclid Avenue, 44195-5245, Cleveland, OH, USA aut Hantus S. Neurologic Institute, Cleveland Clinic, Cerebrovascular Disease Center, 9500 Euclid Avenue, 44195-5245, Cleveland, OH, USA aut Neurocritical Care Humana Press Inc 18/2(2013-04-01), 261-265 1541-6933 18:2<261 2013 18 12028 https://doi.org/10.1007/s12028-011-9650-4 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12028-011-9650-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Newey C. Department of Adult Neurology, Cleveland Clinic, 9500 Euclid Avenue, 44195-5245, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Sarwal A. Neurologic Institute, Cleveland Clinic, Cerebrovascular Disease Center, 9500 Euclid Avenue, 44195-5245, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Hantus S. Neurologic Institute, Cleveland Clinic, Cerebrovascular Disease Center, 9500 Euclid Avenue, 44195-5245, Cleveland, OH, USA aut NATIONALLICENCE 773 0- Neurocritical Care Humana Press Inc 18/2(2013-04-01), 261-265 1541-6933 18:2<261 2013 18 12028 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer