EEG

https://eegatlas-online.com/index.php/en/alphabetical-index/gpeds-guest

λ‡ŒνŒŒλŠ” μ™Όμͺ½μ΄ ν™€μˆ˜, 였λ₯Έμͺ½μ΄ 짝수둜 ν‘œν˜„

μœ„μ— λͺ¨λ‹ˆν„° = 3μ‹œκ°„μ§œλ¦¬, μ•„λž˜ λͺ¨λ‹ˆν„° = 6초 짜리

β†’ status epilepticus 의 goal

  1. μ΄μ „μ—λŠ” μ•„μ˜ˆ flat ν•˜κ²Œ λ§Œλ“€κΈ°

  2. μ΄μ œλŠ” κ·Έμ •λ„λ‘œ control ν•˜κΈ°λŠ” μ–΄λ €μ›Œ, burst suppression μ •λ„λ‘œλ§Œ λ§Œλ“€κΈ°

β†’ treatment

  1. first line = BZD(lorazepam 인 ativan)

  2. second line = levetiracetam, phenytoin, valproate

  3. third line(refractory case) = high dose midazolam, propofol

low voltage, flat 인 경우 ν•­κ²½λ ¨μ œ 써봀자 μ˜λ―Έκ°€ μ—†λ‹€,

<ν•­κ²½λ ¨μ œ μ“°λŠ” 경우> = EEG μ—μ„œ spike(wave 높이가 20이상) μžˆλŠ” sharp wave κ°€ μžˆλ‹€!? = seizure

  1. myoclonus κ·Όκ°„λŒ€μ„± κ²½λ ¨ : λ‡ŒνŒŒ λ‚˜μ˜¬ λ•Œ ν™˜μž λͺΈ μ›€μ°”κ±°λ¦¬λŠ” 경우, λ‡Œμ†μƒμ— μ˜ν•œ λ°œμž‘ μ¦μƒμž„

  2. non-convulsive seizure λΉ„κ²½λ ¨μ„±λ°œμž‘ : λ‡ŒνŒŒκ°€ λ‚˜μ˜€λŠ” burst μˆœκ°„μ΄ λ‹¨μˆœ 리듬이 μ•„λ‹ˆλΌ, spike sharp κ°€ μ„žμ—¬ μžˆκ±°λ‚˜, 점점 λΉ¨λΌμ§€λŠ” λͺ¨μ–‘인 경우