Application of multi-channel video electroencephalogram in neonatal brain injury / 中国新生儿科杂志

ABSTRACT

Objective To study the value of multi-channel video electroencephalogram (VEEG) in evaluating the severity and the prognosis of hypoxic-ischemic encephalopathy (HIE) in full-term neonates.Method From September 2015 to December 2016,full-term newborns of suspected brain damage were admitted to Kunming Children's Hospital and received multi-channel VEEG within 6 hours after birth and MRI within one week.6 months after treatment,mental development index (MDI) and psychomotor development index (PDI) score were calculated.Finally,the relationship of VEEG and the prognosis of HIE was evaluated.Result Among 123 cases in our study,the total anomaly rate of VEEG was 59.3％(73/123).The anomaly rate of VEEG was 29.5％ (18/61) in mild HIE,82.1％ (32/39) in moderate HIE,and 100％ (23/23) in severe HIE.The result of VEEG at birth was related to MDI and PDI scores,the worse the VEEG the lower scores of the MDI and PDI.The incidence of sequelae increased significantly in HIE infants with severely abnormal VEEG.Conclusion Neonatal VEEG can reflect the extent of brain damage in infants with HIE.Continuous and multiple monitoring is very valuable in evaluating the prognosis of the infants.