A review of important electroencephalogram features for the assessment of brain maturation in premature infants

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Date
2017-08-17
Authors
Pavlidis, Elena
Lloyd, Rhodri O.
Mathieson, Sean
Boylan, Geraldine B.
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John Wiley & Sons Ltd
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Abstract
This review describes the maturational features of the baseline electroencephalogram (EEG) in the neurologically healthy preterm infant. Features such as continuity, sleep state, synchrony and transient waveforms are described, even from extremely preterm infants and includes abundant illustrated examples. The physiological significance of these EEG features and their relationship to neurodevelopment are highlighted where known. This review also demonstrates the importance of multichannel conventional EEG monitoring for preterm infants as many of the features described are not apparent if limited channel EEG monitors are used. Conclusion: This review aims to provide healthcare professionals in the neonatal intensive care unit with guidance on the more common normal maturational features seen in the EEG of preterm infants.
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Keywords
Brain maturation , Conventional electroencephalogram , Multichannel electroencephalogram , Preterm infants , Very premature infants
Citation
Pavlidis, E., Lloyd, R. O., Mathieson, S. and Boylan, G. B. (2017) 'A review of important electroencephalogram features for the assessment of brain maturation in premature infants', Acta Paediatrica, 106(9), pp. 1394-1408. doi:10.1111/apa.13956
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© 2017, Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Pavlidis, E., Lloyd, R. O., Mathieson, S. and Boylan, G. B. (2017) 'A review of important electroencephalogram features for the assessment of brain maturation in premature infants', Acta Paediatrica, 106(9), pp. 1394-1408, which has been published in final form at http://dx.doi.org/10.1111/apa.13956. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.