DETECTION OF NEONATAL SEIZURES THROUGH COMPUTERIZED EEG ANALYSIS

被引:151
作者
LIU, A
HAHN, JS
HELDT, GP
COEN, RW
机构
[1] STANFORD UNIV,MED CTR,DEPT NEUROL & NEUROL SCI,H3160,STANFORD,CA 94305
[2] UNIV CALIF SAN DIEGO,SCH MED,DEPT NEUROSCI,LA JOLLA,CA 92093
[3] UNIV CALIF SAN DIEGO,SCH MED,DEPT PEDIAT,LA JOLLA,CA 92093
[4] UNIV CALIF SAN DIEGO,SCH MED,DIV PEDIAT NEUROL,LA JOLLA,CA 92093
[5] UNIV CALIF SAN DIEGO,SCH MED,DIV PERINATAL MED,LA JOLLA,CA 92093
来源
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY | 1992年 / 82卷 / 01期
关键词
AUTOCORRELATION; SPECTRAL ANALYSIS; FOURIER ANALYSIS; NEONATAL SEIZURES; COMPUTERIZED DETECTION; ELECTROENCEPHALOGRAM;
D O I
10.1016/0013-4694(92)90179-L
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Neonatal seizures are a symptom of central nervous system disturbances. Neonatal seizures may be identified by direct clinical observation but the majority of electrographic seizures are clinically silent or subtle. Electrographic seizures in the newborn consist of periodic or rhythmic discharges that are distinctively different from normal background cerebral activity. Utilizing these differences, we have developed a technique to identify electrographic seizure activity. In this study, autocorrelation analysis was used to distinguish seizures from background electrocerebral activity. Autocorrelation data were scored to quantify the periodicity using a newly developed scoring system. This method. Scored Autocorrelation Moment (SAM) analysis, successfully distinguished epochs of EEGs with seizures from those without (N = 117 epochs, 58 with seizure and 59 without). SAM analysis showed a sensitivity of 84% and a specificity of 98%. SAM analysis of EEG may provide a method for monitoring electrographic seizures in high-risk newborns.
引用
收藏
页码:30 / 37
页数:8
相关论文
共 18 条
[1]   NEONATAL SEIZURES - RECENT ASPECTS [J].
ANDRE, M ;
MATISSE, N ;
VERT, P ;
DEBRUILLE, C .
NEUROPEDIATRICS, 1988, 19 (04) :201-207
[2]   COTSIDE EEG MONITORING USING COMPUTERIZED SPECTRAL-ANALYSIS [J].
AZIZ, SS ;
WALLACE, SJ ;
MURPHY, JF ;
SAINSBURY, CPQ ;
GRAY, OP .
ARCHIVES OF DISEASE IN CHILDHOOD, 1986, 61 (03) :242-246
[3]   LOW-DIMENSIONAL CHAOS IN AN INSTANCE OF EPILEPSY [J].
BABLOYANTZ, A ;
DESTEXHE, A .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1986, 83 (10) :3513-3517
[4]   SEIZURES IN THE NEONATAL INTENSIVE-CARE UNIT OF THE 1980S - TYPES, ETIOLOGIES, TIMING [J].
CALCIOLARI, G ;
PERLMAN, JM ;
VOLPE, JJ .
CLINICAL PEDIATRICS, 1988, 27 (03) :119-123
[5]   INTERICTAL SHARP EEG TRANSIENTS IN NEONATAL SEIZURES [J].
CLANCY, RR .
JOURNAL OF CHILD NEUROLOGY, 1989, 4 (01) :30-38
[6]  
COEN R, 1985, ADV PERINATAL MED, P267
[7]  
FENICHEL GM, 1987, YALE J BIOL MED, V60, P139
[8]  
Fleiss J. L., 1981, STATISTICAL METHODS, P1
[9]  
HAKEEM VF, 1990, DEV MED CHILD NEUROL, V32, P858
[10]   RECENT ADVANCES IN THE DIAGNOSIS, TREATMENT, AND PROGNOSIS OF NEONATAL SEIZURES [J].
LEGIDO, A ;
CLANCY, RR ;
BERMAN, PH .
PEDIATRIC NEUROLOGY, 1988, 4 (02) :79-86