ArticleFrontiers in pediatrics2021
Characterization of aEEG During Sleep and Wakefulness in Healthy Children.
Article in Frontiers in pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Propofol-induced frontal aEEG changes in children during deep procedural sedation.Frontiers in neurology · 2025Article
- Systematically lower aEEG amplitude values in neurologically healthy children using an automated algorithm compared to a semi-manual method.Frontiers in neurology · 2025Article
- Analysis of electrode performance on amplitude integrated electroencephalography in neonates: evaluation of a new electrode aCUP-E vs. liquid gel electrodes.Frontiers in pediatrics · 2024Article
- EEG monitoring during anesthesia in children aged 0 to 18 months: amplitude-integrated EEG and age effects.BMC pediatrics · 2022Observational
- Prophylactic Low-Dose Paracetamol Administration for Ductal Closure and Amplitude-Integrated Electroencephalography in Preterm Infants.Frontiers in pediatrics · 2022Article
- The impact of age and electrode position on amplitude-integrated EEGs in children from 1 month to 17 years of age.Frontiers in neurology · 2022Article
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7 authors.
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Abstract
introductionInterpretation of amplitude-integrated EEG (aEEG) is hindered by lacking knowledge on physiological background patterns in children. The aim of this study was to find out whether aEEG differs between wakefulness and sleep in children.
methodsForty continuous full-channel EEGs (cEEG) recorded during the afternoon and overnight in patients <18 years of age without pathologies or only solitary interictal epileptiform discharges were converted into aEEGs. Upper and lower amplitudes of the C3-C4, P3-P4, C3-P3, C4-P4, and Fp1-Fp2 channels were measured during wakefulness and sleep by two investigators and bandwidths (BW) calculated. Sleep states were assessed according to the American Academy of Sleep Medicine. Median and interquartile ranges (IQR) were calculated to compare the values of amplitudes and bandwidth between wakefulness and sleep.
resultsMedian age was 9.9 years (IQR 6.1-14.7). All patients displayed continuous background patterns. Amplitudes and BW differed between wakefulness and sleep with median amplitude values of the C3-C4 channel 35 μV (IQR: 27-49) for the upper and 13 μV (10-19) for the lower amplitude. The BW was 29 μV (21-34). During sleep, episodes with high amplitudes [upper: 99 μV (71-125), lower: 35 μV (25-44), BW 63 μV (44-81)] corresponded to sleep states N2-N3. High amplitude-sections were interrupted by low amplitude-sections, which became the longer toward the morning [upper amplitude: 39 μV (30-51), lower: 16 μV (11-20), BW 23 μV (19-31)]. Low amplitude-sections were associated with sleep states REM, N1, and N2. With increasing age, amplitudes and bandwidths declined.
conclusionaEEGs in non-critically ill children displayed a wide range of amplitudes and bandwidths. Amplitudes were low during wakefulness and light sleep and high during deep sleep. Interpretation of pediatric aEEG background patterns must take into account the state of wakefulness in in clinical practice and research.
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