Periodic Epileptiform Discharges Clarified for the Nonneurologist Intensivist: Clinical Implications and Current Management. (October 2015)

• Record Type: Journal Article
• Authors: Lahiri, Shouri; Boro, Alexis D.; Shiloh, Ariel L.; Milstein, Mark J.; Savel, Richard H.
• Is Part Of: Journal of intensive care medicine. Volume 30:Number 7(2015:Oct.)
• Page Start: 385
• Page End: 391
• Publication Date: 2015-10
• Subjects: periodic epileptiform discharges -- PLEDs -- seizures -- EEG -- status epilepticus; Critical care medicine -- Periodicals; Critical Care -- Periodicals; Soins intensifs -- Périodiques; Soins intensifs; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.02805
• DOI: 10.1177/0885066613513411
• Languages: English
• ISSNs: 0885-0666

Abstract

Periodic epileptiform discharges (PEDs) are frequently encountered during continuous electroencephalography monitoring in the intensive care unit. Their implications and management are variable and highly dependent on the clinical context. This article is intended for the nonneurologist intensivist, reviews basic terminology and clinical implications (including causes, prognosis, and association with seizures), and suggests an approach to management. Several case vignettes are included to illustrate the clinical variability associated with PEDs.