Question 1. Is cerebral function monitoring as accurate as conventional EEG in the detection of neonatal seizures?

摘要

A term baby girl is admitted to the neonatal unit following concerns regarding abnormal movements noted on the postnatal ward. She is reported to have had tonic posturing of the limbs and back-arching at 10 h of age. As the neonatal registrar on the night shift, you are asked to review the baby and you wonder whether cerebral function monitoring (CFM) of the baby would be an effective and accurate method of detecting seizure activity.Is CFM or amplitude EEG (aEEG) [index test] as accurate as conventional EEG (cEEG) [comparison] in detecting seizures [outcome] in term neonates [population]?A search of the EMBASE and MEDLINE healthcare databases (limits: publication year 1974-current and English language) identified 42 articles (search performed March 2010).