Part II: Recognition and Treatment of Seizure After CA
1Emergency Medicine, Critical Care Medicine and Neurology, University of Pittsburgh, United States of America
A large proportion of patients who are comatose after resuscitation from cardiac arrest will develop seizures or other epileptiform electroencephalographic (EEG) activity. These abnormal EEG findings can help inform neurological prognostication. Moreover, epileptiform EEG activity may worsen secondary brain injury and patient outcomes. There are many available options for EEG acquisition and interpretation, including a variety of qualitative and quantitative approaches. We will review the advantages and disadvantages of several widely used methods, and discuss current controversies about treatment of post-arrest seizures.