High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients

High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients

Objective: To analyze continuous 1- or 2-channel electroencephalograms (EEGs) of mechanically ventilated patients with coronavirus disease 2019 (COVID-19) with regard to occurrence of epileptiform potentials.Design: Single-center retrospective analysis.Setting: Intensive care unit of Hannover Medica...

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Main Authors: Barbara Schultz, Terence Krauß, Maren Schmidt, Michael Schultz, Andrea Schneider, Olaf Wiesner, Julius J. Schmidt, Klaus Stahl, Sascha David, Marius M. Hoeper, Markus Busch
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Medicine
Subjects:
COVID-19
electroencephalography
critical care
epileptiform potentials
inhalation anesthetics
sedation
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.613951/full
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spelling doaj-01bfcf4bb35741b08f7afe08068377b22021-03-26T05:13:59ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-03-01810.3389/fmed.2021.613951613951High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 PatientsBarbara Schultz0Terence Krauß1Maren Schmidt2Michael Schultz3Andrea Schneider4Olaf Wiesner5Julius J. Schmidt6Klaus Stahl7Sascha David8Sascha David9Marius M. Hoeper10Markus Busch11Department of Anesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, GermanyDepartment of Anesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, GermanyDepartment of Anesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, GermanyMedical University of Vienna, Vienna, AustriaDepartment of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, GermanyDepartment of Respiratory Medicine and German Centre of Lung Research (DZL), Hannover Medical School, Hannover, GermanyDepartment of Nephrology and Hypertension, Hannover Medical School, Hannover, GermanyDepartment of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, GermanyDepartment of Nephrology and Hypertension, Hannover Medical School, Hannover, GermanyInstitute of Intensive Care Medicine, University Hospital Zurich, Zurich, SwitzerlandDepartment of Respiratory Medicine and German Centre of Lung Research (DZL), Hannover Medical School, Hannover, GermanyDepartment of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, GermanyObjective: To analyze continuous 1- or 2-channel electroencephalograms (EEGs) of mechanically ventilated patients with coronavirus disease 2019 (COVID-19) with regard to occurrence of epileptiform potentials.Design: Single-center retrospective analysis.Setting: Intensive care unit of Hannover Medical School, Hannover, Germany.Patients: Critically ill COVID-19 patients who underwent continuous routine EEG monitoring (EEG monitor: Narcotrend-Compact M) during sedation.Measurements and Main Results: Data from 15 COVID-19 patients (11 men, four women; age: 19–75 years) were evaluated. Epileptiform potentials occurred in 10 of 15 patients (66.7%).Conclusions: The results of the evaluation regarding the occurrence of epileptiform potentials show that there is an unusually high percentage of cerebral involvement in patients with severe COVID-19. EEG monitoring can be used in COVID-19 patients to detect epileptiform potentials.https://www.frontiersin.org/articles/10.3389/fmed.2021.613951/fullCOVID-19electroencephalographycritical careepileptiform potentialsinhalation anestheticssedation
collection DOAJ
language English
format Article
sources DOAJ
author Barbara Schultz
Terence Krauß
Maren Schmidt
Michael Schultz
Andrea Schneider
Olaf Wiesner
Julius J. Schmidt
Klaus Stahl
Sascha David
Sascha David
Marius M. Hoeper
Markus Busch
spellingShingle Barbara Schultz
Terence Krauß
Maren Schmidt
Michael Schultz
Andrea Schneider
Olaf Wiesner
Julius J. Schmidt
Klaus Stahl
Sascha David
Sascha David
Marius M. Hoeper
Markus Busch
High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients
Frontiers in Medicine
COVID-19
electroencephalography
critical care
epileptiform potentials
inhalation anesthetics
sedation
author_facet Barbara Schultz
Terence Krauß
Maren Schmidt
Michael Schultz
Andrea Schneider
Olaf Wiesner
Julius J. Schmidt
Klaus Stahl
Sascha David
Sascha David
Marius M. Hoeper
Markus Busch
author_sort Barbara Schultz
title High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients
title_short High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients
title_full High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients
title_fullStr High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients
title_full_unstemmed High Incidence of Epileptiform Potentials During Continuous EEG Monitoring in Critically Ill COVID-19 Patients
title_sort high incidence of epileptiform potentials during continuous eeg monitoring in critically ill covid-19 patients
publisher Frontiers Media S.A.
series Frontiers in Medicine
issn 2296-858X
publishDate 2021-03-01
description Objective: To analyze continuous 1- or 2-channel electroencephalograms (EEGs) of mechanically ventilated patients with coronavirus disease 2019 (COVID-19) with regard to occurrence of epileptiform potentials.Design: Single-center retrospective analysis.Setting: Intensive care unit of Hannover Medical School, Hannover, Germany.Patients: Critically ill COVID-19 patients who underwent continuous routine EEG monitoring (EEG monitor: Narcotrend-Compact M) during sedation.Measurements and Main Results: Data from 15 COVID-19 patients (11 men, four women; age: 19–75 years) were evaluated. Epileptiform potentials occurred in 10 of 15 patients (66.7%).Conclusions: The results of the evaluation regarding the occurrence of epileptiform potentials show that there is an unusually high percentage of cerebral involvement in patients with severe COVID-19. EEG monitoring can be used in COVID-19 patients to detect epileptiform potentials.
topic COVID-19
electroencephalography
critical care
epileptiform potentials
inhalation anesthetics
sedation
url https://www.frontiersin.org/articles/10.3389/fmed.2021.613951/full
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