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Assessment of EEG Changes in Neonatal Sepsis at Al-Zahraa University Hospital’s NIC Unit 被引量:1
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作者 Sara Tarek Mohamed Mohamed Zeinab Farag Oshaiba +1 位作者 Marwa El-Hady Abd El Moneim Asmaa Abd El Wakeel Ibrahim 《Open Journal of Pediatrics》 2020年第3期493-503,共11页
<strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> EEG is one of the most sensitive instrumental techniques for identifying sep... <strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> EEG is one of the most sensitive instrumental techniques for identifying sepsis-related neurological complications and a valuable tool in the ICU when clinical assessment is difficult. </span><b><span style="font-family:Verdana;">Aim of the Study:</span></b><span style="font-family:Verdana;"> To detect EEG changes in neonates with evidence of sepsis.</span><a name="_Toc508467354"></a> <b><span style="font-family:Verdana;">Patients and Methods</span></b><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"> This was a prospective observational study for detecting EEG changes in cases of proven neonatal sepsis. This study was conducted at the NICU of Al Zahraa University Hospital for a period from October 2019 to March 2020. Our studied neonates were 50. This study included full-term newborns (37 to 42 weeks of gestational age) with clinical and laboratory evidence of sepsis (early and late onset). Neonatal birth asphyxia, jaundice, congenital malformations, suspected inborn error of metabolism and neonates electrolytes disturbances were excluded from the study. We record EEG changes during 20 min By an electroencephalogram</span><b> </b><span style="font-family:Verdana;">(EEG) with abioelectric amplifier (Deltamed, Bourgogne), (Philips) Screen.</span><b> <span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Among our studied neonates (neonates with evidence sepsis), 44.0% developed clinical seizures, 81% of the seizures group had abnormal EEG, 35.7% of No seizures group had abnormal EEG. Among our studied neonates, 56% had abnormal EEG EEG abnormalities were as follow, 26%/ had low voltage, 30% had spikes, 22% had sharp waves. </span><b><span><span style="font-family:Verdana;">Conclusion:</span><i> </i></span></b><span style="font-family:Verdana;">About 35% (one third) of neonates who didn’t develop clinical seizures had abnormal EEG, suggesting a poor correlation between clinical and electroencephalographic detection of seizures.</span></span> 展开更多
关键词 background abnormalities ELECTROENCEPHALOGRAM Neurological Complication Sepsis Spike Seizures
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