ReviewClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2020
How to carry out and interpret EEG recordings in COVID-19 patients in ICU?
Review in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Neurological involvement of coronavirus disease 2019: a systematic review.Journal of neurology · 2020Pooled it
- Response to CNP-D-25-204 "Triphasic waves: To treat or not to treat?": Do not overlook COVID-19 and Creutzfeldt-Jakob disease.Clinical neurophysiology practice · 2026Article
- Nonconvulsive status epilepticus in patients under intensive care: Should we view epilepsy as a sleep disorder?Epilepsia · 2025Review
- Electroencephalogram-Based Evaluation of Impaired Sedation in Patients with Moderate to Severe COVID-19 ARDS.Journal of clinical medicine · 2022Article
- Article
- Retrospective Analysis of EEG in Patients With COVID-19: EEG Recording in Acute and Follow-up Phases.Clinical EEG and neuroscience · 2022Article
- EEG Abnormalities and Their Radiographic Correlates in a COVID-19 Inpatient Cohort.Neurology. Clinical practice · 2022Article
- EEG as an indispensable tool during and after the COVID-19 pandemic: A review of tribulations and successes.Frontiers in neurology · 2022Review
- Evaluation and Treatment of Seizures and Epilepsy During the COVID-19 Pandemic.Current neurology and neuroscience reports · 2022Review
- Epilepsy care during the COVID-19 pandemic.Epilepsia · 2021Article
- Importance of access to epilepsy monitoring units during the COVID-19 pandemic: consensus statement of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology.Epileptic disorders : international epilepsy journal with videotape · 2021Article
- Clinical Electroencephalography Findings and Considerations in Hospitalized Patients With Coronavirus SARS-CoV-2.The Neurohospitalist · 2021Article
- The chronic neuropsychiatric sequelae of COVID-19: The need for a prospective study of viral impact on brain functioning.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021Article
- Neurologic Emergencies during the Coronavirus Disease 2019 Pandemic.Neurologic clinics · 2021Review
- Frontotemporal EEG to guide sedation in COVID-19 related acute respiratory distress syndrome.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2021Article
- Case Report and Literature Review: COVID-19 and status epilepticus in Dyke-Davidoff-Masson syndrome.F1000Research · 2021Article
- Seizure Management in the Intensive Care Unit.Current treatment options in neurology · 2021Review
- Alpha coma EEG pattern in patients with severe COVID-19 related encephalopathy.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2021Observational
- Non-convulsive status epilepticus in a patient with COVID-19 infection.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2020Article
- Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There are questions and challenges regarding neurologic complications in COVID-19 patients. EEG is a safe and efficient tool for the evaluation of brain function, even in the context of COVID-19. However, EEG technologists should not be put in danger if obtaining an EEG does not significantly advance diagnosis or change management in the patient. Not every neurologic problem stems from a primary brain injury: confusion, impaired consciousness that evolves to stupor and coma, and headaches are frequent in hypercapnic/hypoxic encephalopathies. In patients with chronic pulmonary disorders, acute symptomatic seizures have been reported in acute respiratory failure in 6%. The clinician should be aware of the various EEG patterns in hypercapnic/hypoxic and anoxic (post-cardiac arrest syndrome) encephalopathies as well as encephalitides. In this emerging pandemic of infectious disease, reduced EEG montages using single-use subdermal EEG needle electrodes may be used in comatose patients. A full 10-20 EEG complement of electrodes with an ECG derivation remains the standard. Under COVID-19 conditions, an expedited study that adequately screens for generalized status epilepticus, most types of regional status epilepticus, encephalopathy or sleep may serve for most clinical questions, using simplified montages may limit the risk of infection to EEG technologists. We recommend noting whether the patient is undergoing or has been placed prone, as well as noting the body and head position during the EEG recording (supine versus prone) to avoid overinterpretation of respiratory, head movement, electrode, muscle or other artifacts. There is slight elevation of intracranial pressure in the prone position. In non-comatose patients, the hyperventilation procedure should be avoided. At present, non-specific EEG findings and abnormalities should not be considered as being specific for COVID-19 related encephalopathy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.