Continuous electroencephalography is the gold standard for seizure detection and determination of underlying cerebral function in critically ill neonates and children. Electrographic seizures are noted to affect 10-50% of critically ill children in the intensive care unit. The impact of electrographic seizures on outcome in this patient population remains unclear. Studies suggest that seizure burden may influence neurologic outcome. Other studies have shown an association between electrographic status epilepticus and in-hospital mortality.
Our lab is investigating the impact of electrographic seizures and how they may relate to outcome in critically ill children in both the neonatal and pediatric intensive care unit. We are interested in further defining subpopulations of critically ill children such as children requiring extracorporeal membrane oxygenation, those that are status post congenital heart disease surgery, neonates that are premature, and neonates suspected of having hypoxic ischemic injury to name a few. We are also focusing on seizure prediction in these subpopulations using early clinical and electrographic features.
About Arnold J. Sansevere
Arnold Sansevere received his M.D. from Drexel University College of medicine. He completed a pediatric residency at Schneider’s Children’s Hospital in New Hyde Park, NY. He went on to complete his child neurology residency and epilepsy fellowship at Boston Children’s Hospital. His main interests are in continuous EEG monitoring in the neonatal and pediatric intensive care unit as well as medical education.