Neonatal EEG
Özet
Neonatal EEG, yenidoğanlarda beyin gelişimi ve nöbetlerin takibi için kritik, non-invaziv bir yöntemdir. İşlem, eğitimli teknisyenler tarafından belirli teknik standartlara (montaj, filtreleme, süre) uygun olarak gerçekleştirilmelidir. Beyin olgunlaşması konsepsiyonel yaşa bağlı olduğundan, EEG yorumlaması yaşa özgü gelişimsel paternler ve patolojik bulgular dikkate alınarak yapılmalıdır. Bu yöntem, yenidoğan nörolojik değerlendirmesinde tanı ve prognoz belirleme açısından vazgeçilmez bir tanı aracıdır.
Neonatal EEG is a vital, non-invasive tool for evaluating neurological function, brain maturation, and identifying seizures in newborns. The procedure must be performed by trained technicians following specific technical standards for montage, filtering, and recording duration. Because brain maturation depends on conceptual age, interpretation requires assessing age-specific developmental patterns alongside potential pathological findings. Consequently, this method is essential for accurate diagnosis and prognostic determination in neonatal neurological care.
Referanslar
Vanhatalo S, Kaila K. Development of neonatal EEG activity: from phenomenology to physiology. Semin Fetal Neonatal Med. 2006;11(6):471-8. PMID:17018268.
Clancy RR, Legido A, Lewis D. Occult neonatal seizures. Epilepsia. 1988;29(3):256-61. PMID: 3371282.
Silverstein FS, Ferriero DM. Off-label use of antiepileptic drugs for the treatment of neonatal seizures. Pediatr Neurol. 2008;39(2):77-9. PMID: 18639748.
Clancy RR, Sharif U, Ichord R, Spray TL, Nicolson S, Tabbutt S, et al. Electrographic neonatal seizures after infant heart surgery. Epilepsia. 2005;46(1):84-90. PMID: 15660772.
Hahn JS. Neonatal and pediatric electroencephalography. In: Aminoff M, ed. Aminoff’s Electrodiagnosis in Clinical Neurology. 6th ed. China: Saunders; 2012. p.85-128.
Nunes ML, Da Costa JC, Moura-Ribeiro MV. Polysomnographic quantification of bioelectrical maturation in preterm and fullterm newborns at matched conceptional ages. Electroencephalogr Clin Neurophysiol. 1997;102(3):186-91. PMID: 9129574.
Shellhaas RA, Chang T, Tsuchida T, Scher MS, Riviello JJ, Abend NS, et al. The American Clinical Neurophysiology Society’s guideline on continuous electroencephalography monitoring in neonates. J Clin Neuro
St. Louis E, Frey L. Electroencephalography (EEG): An Introductory Text and Atlas of Normal and Abnormal Findings in Adults, Children and Infants. Chicago, IL: American Epilepsy Society; 2016. p.95.
Hahn J. Neonatal and pediatric electroencephalography. In: Aminoff M, ed. Aminoff’s Electrodiagnosis in Clinical Neurology. 6th ed. China: Saunders; 2012. p.85-128.
Tsuchida TN, Wusthoff CJ, Shellhaas RA, Abend NS, Hahn CD, Sullivan JE, et al. American Clinical Neurophysiology Society standardized EEG terminology and categorization for the description of continuous EEG monitoring in neonates: report of the American Clinical Neurophysiology Society critical care monitoring committee. J Clin Neurophysiol. 2013;30(2):161-73.
Hayakawa M, Okumura A, Hayakawa F, Watanabe K, Ohshiro M, Kato Y, et al. Background electroencephalographic (EEG) activities of very preterm infants born at less than 27 weeks gestation: a study on the degree of continuity. Arch Dis Child Fetal Neonatal Ed. 2001;84(3):F163-7.
Hahn JS, Monyer H, Tharp BR. Interburst interval measurements in the EEGs of premature infants with normal neurological outcome. Electroencephalogr Clin Neurophysiol. 1989;73(5):410-8.
Mizrahi EM, Hrachovy RA. Atlas of Neonatal Electroencephalography. 4th ed. New York: Demosmedical; 2016. p.336.Clin Neurophysiol. 2000;111(12):2116-24.
Scher MS, Johnson MW, Holditch-Davis D. Cyclicity of neonatal sleep behaviors at 25 to 30 weeks’ postconceptional age. Pediatr Res.2005;57(6):879-82.
Clancy RR. Electroencephalography in the premature and full-term infant. In: Polin RA, Fox WW, eds. Fetal and Neonatal Physiology. 3rd ed. Vol 2-2. Saunders; 2003. p.1726-45.
Alix JJP, Ponnusamy A, Pilling E, Hart AR. An introduction to neonatal EEG. Paediatr Child Health (Oxford). 2017;27(3):135-42.
Tsuchida TN, Wusthoff CJ, Shellhaas RA,Abend NS, Hahn CD, Sullivan JE, et al. American Clinical Neurophysiology Society standardized EEG terminology and categorization for the description of continuous EEG monitoring in neonates: report of the American Clinical Neurophysiology Society critical care monitoring committee. J Clin Neurophysiol.2013;30(2):161-73
Levin K, Luders H. Comprehensive Clinical Neurophysiology. 1st ed. Philadelphia: Saunders; 2000. p.627.
Douglass LM, Wu JY, Rosman NP et al: Burst suppression electroencephalogram pattern in the newborn: predicting the outcome. J Child Neurol, 17:403, 2002
Hayakawa M, Okumura A, Hayakawa F et al: Background electroencephalographic (EEG) activities of very preterm infants born at less than 27 weeks gestation: a study on the degree of continuity. Arch Dis Child Fetal Neonatal Ed, 84:F163, 2001
Britton JW, Frey LC, Hopp JL, Korb P, Koubeissi MZ, Lievens WE, et al. Electroencephalography (EEG): an introductory text and atlas of normal and abnormal findings in adults, children, and infants. Chicago: American Epilepsy Society; 2016.
Blume WT, Dreyfus-Brisac C. Positive rolandic sharp waves in neonatal EEG; types and significance. Electroencephalogr Clin Neurophysiol. 1982;53(3):277-82.
