Feasibility of a nurse-led patch-type electroencephalography monitoring protocol with arterial spin labeling in patients with severe traumatic brain injury: a prospective observational study
摘要
Nonconvulsive seizures are clinically important in severe traumatic brain injury but are difficult to detect when continuous electroencephalography (EEG) is not feasible in the intensive care unit. We conducted a prospective observational study to evaluate a nurse-led patch-type EEG protocol, with arterial spin labeling (ASL) magnetic resonance imaging as an exploratory comparator. Patch-type EEG monitoring was feasible in 21 of 24 enrolled patients (87.5%), and both EEG and ASL assessments were evaluable in 16 patients. Electrographic seizures were detected in four patients (25%), with all of them showing corresponding focal hyperperfusion on imaging. These findings suggest that simplified patch-type EEG monitoring is feasible in this setting; however, further studies are warranted to determine the clinical relevance of nurse-led patch-type EEG monitoring.