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개정된 뇌파 용어와 임상 고찰

Revised Electroencephalography Terminology and Clinical Consideration

강현구|김상연|류한욱|김홍진
대한신경과학회 (Korean Neurological Association)|2022.05|대한신경과학회지 (Journal of the Korean Neurological Association)|제40권 제2호|pp. 99-120

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참고문헌

키워드

TerminologyElectroencephalographyBrain waves
주제분류신경과학

초록

Electroencephalography (EEG) has been used for decades to evaluate and assess brain function. It is a useful method to diagnose brain disorders. However, confirmed interpretation of EEG is quite challenging because there is no standardized method for EEG reading and this may lead to interrater variability even among expert electroencephalographers. In this background, uniformly accepted nomenclature for EEG pattern were required to improve interrater agreement and to support communication for EEG research. American Clinical Neurophysiology Society (ACNS) established the standardized critical care EEG terminology since 2012 and has recently published the revised 2021 version of EEG terminology. This review covers new concepts of 2021 ACNS EEG terminology and clinical considerations of various EEG patterns.

Abstract

Electroencephalography (EEG) has been used for decades to evaluate and assess brain function. It is a useful method to diagnose brain disorders. However, confirmed interpretation of EEG is quite challenging because there is no standardized method for EEG reading and this may lead to interrater variability even among expert electroencephalographers. In this background, uniformly accepted nomenclature for EEG pattern were required to improve interrater agreement and to support communication for EEG research. American Clinical Neurophysiology Society (ACNS) established the standardized critical care EEG terminology since 2012 and has recently published the revised 2021 version of EEG terminology. This review covers new concepts of 2021 ACNS EEG terminology and clinical considerations of various EEG patterns.

참고문헌 (48)

  1. Hirsch LJ, "American Clinical Neurophysiology Society’s standardized critical care EEG terminology : 2021 version", J Clin Neurophysiol, 38, pp.1~29 (2021)
  2. Hirsch LJ, "American Clinical Neurophysiology Society’s standardized critical care EEG terminology : 2012 version", J Clin Neurophysiol, 30, pp.1~27 (2013)
  3. Thompson SA, "Highly epileptiform bursts are associated with seizure recurrence", J Clin Neurophysiol, 33, pp.66~71 (2016)
  4. Admiraal MM, "Electroencephalographic reactivity testing in unconscious patients : a systematic review of methods and definitions", Eur J Neurol, 24, pp.245~254 (2017)
  5. Admiraal MM, "International consensus on EEG reactivity testing after cardiac arrest : towards standardization", Resuscitation, 131, pp.36~41 (2018)
  6. Cash SS, "The human K-complex represents an isolated cortical down-state", Science, 324, pp.1084~1087 (2009)
  7. Holz J, "EEG sigma and slow-wave activity during NREM sleep correlate with overnight declarative and procedural memory consolidation", J Sleep Res, 21, pp.612~619 (2012)
  8. Kane N, "A revised glossary of terms most commonly used by clinical electroencephalographers and updated proposal for the report format of the EEG findings. Revision 2017", Clin Neurophysiol Pract, 2, pp.170~185 (2017)
  9. Cooper R, "Comparison of subcortical, cortical and scalp activity using chronically indwelling electrodes in man", Electroencephalogr Clin Neurophysiol, 18, pp.217~228 (1965)
  10. Baldin E, "Yield of epileptiform electroencephalogram abnormalities in incident unprovoked seizures : a population-based study", Epilepsia, 55, pp.1389~1398 (2014)
  11. Schreiner A, "Value of the early electroencephalogram after a first unprovoked seizure", Clin EEG Neurosci, 34, pp.140~144 (2003)
  12. Salinsky M, "Effectiveness of multiple EEGs in supporting the diagnosis of epilepsy : an operational curve", Epilepsia, 28, pp.331~334 (1987)
  13. Burkholder DB, "Routine vs extended outpatient EEG for the detection of interictal epileptiform discharges", Neurology, 86, pp.1524~1530 (2016)
  14. Fisch BJ, "Interictal epileptiform activity : diagnostic and behavioral implications : 2002 ACNS presidential address", J Clin Neurophysiol, 20, pp.155~162 (2003)
  15. Gavvala JR, "New-onset seizure in adults and adolescents : a review", JAMA, 316, pp.2657~2668 (2016)
  16. Binnie CD, "Electroencephalography", J Neurol Neurosurg Psychiatry, 587, pp.1308~1319 (1994)
  17. Gaspard N, "Similarity of lateralized rhythmic delta activity to periodic lateralized epileptiform discharges in critically ill patients", JAMA Neurol, 70, pp.1288~1295 (2013)
  18. Ruiz AR, "Association of periodic and rhythmic electroencephalographic patterns with seizures in critically ill patients", JAMA Neurol, 74, pp.181~188 (2017)
  19. Pedersen GL, "Prognostic value of periodic electroencephalographic discharges for neurological patients with profound disturbances of consciousness", Clin Neurophysiol, 124, pp.44~51 (2013)
  20. Gutrecht JA, "Clinical implications of benign epileptiform transients of sleep", Electroencephalogr Clin Neurophysiol, 72, pp.486~490 (1989)
  21. Beniczky S, "Unified EEG terminology and criteria for nonconvulsive status epilepticus", Epilepsia, 54, pp.28~29 (2013)
  22. Leitinger M, "Diagnostic accuracy of the Salzburg EEG criteria for non-convulsive status epilepticus : a retrospective study", Lancet Neurol, 15, pp.1054~1062 (2016)
  23. Trinka E, "A definition and classification of status epilepticus-report of the ILAE task force on classification of status epilepticus", Epilepsia, 56, pp.1515~1523 (2015)
  24. Payne ET, "Seizure burden is independently associated with short term outcome in critically ill children", Brain, 137, pp.1429~1438 (2014)
  25. Krumholz A, "Evidence-based guideline : management of an unprovoked first seizure in adults : report of the guideline development subcommittee of the American Academy of Neurology and the American Epilepsy Society", Epilepsy Curr, 15, pp.144~152 (2015)
  26. Krumholz A, "Which EEG protocol is best in young adults with possible epilepsy?", Commentary. Nat Clin Pract Neurol, 3, pp.128~129 (2007)
  27. Fisher RS, "ILAE official report : a practical clinical definition of epilepsy", Epilepsia, 55, pp.475~482 (2014)
  28. Musicco M, "Treatment of first tonic-clonic seizure does not improve the prognosis of epilepsy", Neurology, 49, pp.991~998 (1997)
  29. Kim LG, "Prediction of risk of seizure recurrence after a single seizure and early epilepsy : further results from the MESS trial", Lancet Neurol, 5, pp.317~322 (2006)
  30. Yoo JY, "Brief potentially ictal rhythmic discharges in critically ill adults", JAMA Neurol, 71, pp.454~462 (2014)
  31. in noncritically ill adults, "J Clin Neurophysiol", 2017, 222~229
  32. Yoo JY, "Brief potentially ictal rhythmic discharges and paroxysmal fast activity as scalp electroencephalographic biomarkers of seizure activity and seizure onset zone", Epilepsia, 62, pp.742~751 (2021)
  33. Palanca BJA, "Electroencephalography and delirium in the postoperative period", Br J Anaesth, 119, pp.294~307 (2017)
  34. Boulanger JM, "Triphasic waves versus nonconvulsive status epilepticus : EEG distinction", Can J Neurol Sci, 33, pp.175~180 (2006)
  35. "EEG Triphasic Waves" (2021)[URL]
  36. Kaplan PW, "An eeg voyage in search of triphasic waves-the sirens and corsairs on the encephalopathy", EEG horizon : a survey of triphasic waves, 2021, pp.38, 348~358
  37. Fernández-Torre JL, "Triphasic waves : historical overview of an unresolved mystery", J Clin Neurophysiol, 38, pp.399~409 (2021)
  38. Brigo F, "Triphasic waves", Neurodiagn J, 51, pp.16~25 (2011)
  39. Karnaze DS, "Triphasic waves : a reassessment of their significance", Electroencephalogr Clin Neurophysiol, 57, pp.193~198 (1984)
  40. Kaplan P, "Typical versus atypical triphasic waves", J Clin Neurophysiol, 30, pp.211~ (2013)
  41. Kaplan PW, "Comparison of triphasic waves and epileptic discharges in one patient with genetic epilepsy", J Clin Neurophysiol, 29, pp.458~461 (2012)
  42. Kaplan PW, "Affair with triphasic waves-their striking presence, mysterious significance, and cryptic origins : what are they?", J Clin Neurophysiol, 32, pp.401~405 (2015)
  43. Van Ruckevorsel K, "Standards of care for non-convulsive status epilepticus : Belgian consensus recommendations", Acta Neurol Belg, 106, pp.117~124 (2006)
  44. O’Rourke D, "Response rates to anticonvulsant trials in patients with triphasic-wave EEG patterns of uncertain significance", Neurocrit Care, 24, pp.233~239 (2016)
  45. Sutter R, "Significance of triphasic waves in patients with acute encephalopathy : a nine-year cohort study", Clin Neurophysiol, 124, pp.1952~1958 (2013)
  46. Hofmeijer J, "EEG in postanoxic coma : prognostic and diagnostic value", Clin Neurophysiol, 127, pp.2047~2055 (2016)
  47. Ruijter BJ, "The prognostic value of discontinuous EEG patterns in postanoxic coma", Clin Neurophysiol, 129, pp.1534~1543 (2018)
  48. Wieser HG, "EEG in Creutzfeldt-Jakob disease", Clin Neurophysiol, 117, pp.935~951 (2006)

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