Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns.

IF 2.1 3区医学 Q2 PEDIATRICS

Frontiers in Pediatrics Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1585606

Anup Kage, Yesenia C Santana, Ivone L Malcolm, Caroline Francia, Michael Yoong, David Wertheim, Divyen Shah

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Abstract

Introduction: Seizures in newborn infants are considered a neurological emergency requiring prompt treatment to limit exacerbation of brain injury. Digital monitors incorporating limited channel raw EEG and amplitude-integrated EEG (aEEG/EEG) are widely used. This study aimed to determine if continuous video recording with simultaneous aEEG/EEG recording enhances seizure recognition.

Methods: Newborns at risk of seizures who underwent neuromonitoring with aEEG/EEG were prospectively recruited to an observational study in a tertiary neonatal centre. Video recordings were commenced after obtaining written consent from parents.

Results: Simultaneous video recordings with aEEG/EEG were obtained in 15/47 newborns recruited to study. A total of 116 electrographic seizure episodes were detected on aEEG/EEG when a total of 56 episodes of abnormal movements were noted on video recordings. Only 8 of these abnormal movements had simultaneous electrographic seizures on aEEG.

Conclusion: Use of simultaneous video and aEEG/EEG recordings in newborns at risk of seizures is feasible. It not only assists confirmation of the presence of seizures but may also help in identifying movements associated with abnormal neurology that are not seizures.

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连续视频记录与同时振幅集成脑电图监测提高新生儿癫痫发作识别。

新生儿癫痫发作被认为是一种神经急症，需要及时治疗以限制脑损伤的恶化。结合有限通道原始脑电图和幅值集成脑电图（aEEG/EEG）的数字监视器得到了广泛的应用。本研究旨在确定连续视频记录与同时aEEG/EEG记录是否增强癫痫发作识别。方法：前瞻性地招募有癫痫发作风险的新生儿进行aEEG/EEG神经监测，在三级新生儿中心进行观察性研究。在取得家长的书面同意后，便开始录像。结果：入选的47例新生儿中有15例获得aEEG/EEG同步录像。在aEEG/EEG上共检测到116次电图癫痫发作，在视频记录上共记录到56次异常运动。这些异常运动中只有8例在aEEG上同时出现电痉挛。结论：对有癫痫发作危险的新生儿采用同步视频和aEEG/EEG记录是可行的。它不仅有助于确认癫痫发作的存在，而且还可以帮助识别与非癫痫发作的异常神经学相关的运动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.