Science and Research

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 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.

  • Schultz, B.
  • Krauß, T.
  • Schmidt, M.
  • Schultz, M.
  • Schneider, A.
  • Wiesner, O.
  • Schmidt, J. J.
  • Stahl, K.
  • David, S.
  • Hoeper, M. M.
  • Busch, M.

Keywords

  • Covid-19
  • critical care
  • electroencephalography
  • epileptiform potentials
  • inhalation anesthetics
  • sedation
  • or financial relationships that could be construed as a potential conflict of
  • interest.
Publication details
DOI: 10.3389/fmed.2021.613951
Journal: Front Med (Lausanne)
Pages: 613951 
Work Type: Original
Location: BREATH
Disease Area: PALI
Partner / Member: MHH
Access-Number: 33842496

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