Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns

IntroductionSeizures in newborn infants are considered a neurological emergency requiring prompt treatment to limit exacerbation of brain injury. Digital monitors incorporating limited channel raw EEG and amplitude-integrated EEG (aEEG/EEG) are widely used. This study aimed to determine if continuou...

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Main Authors: Anup Kage, Yesenia C. Santana, Ivone L. Malcolm, Caroline Francia, Michael Yoong, David Wertheim, Divyen Shah
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1585606/full
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author Anup Kage
Yesenia C. Santana
Ivone L. Malcolm
Caroline Francia
Michael Yoong
David Wertheim
Divyen Shah
author_facet Anup Kage
Yesenia C. Santana
Ivone L. Malcolm
Caroline Francia
Michael Yoong
David Wertheim
Divyen Shah
author_sort Anup Kage
collection DOAJ
description IntroductionSeizures in newborn infants are considered a neurological emergency requiring prompt treatment to limit exacerbation of brain injury. Digital monitors incorporating limited channel raw EEG and amplitude-integrated EEG (aEEG/EEG) are widely used. This study aimed to determine if continuous video recording with simultaneous aEEG/EEG recording enhances seizure recognition.MethodsNewborns at risk of seizures who underwent neuromonitoring with aEEG/EEG were prospectively recruited to an observational study in a tertiary neonatal centre. Video recordings were commenced after obtaining written consent from parents.ResultsSimultaneous video recordings with aEEG/EEG were obtained in 15/47 newborns recruited to study. A total of 116 electrographic seizure episodes were detected on aEEG/EEG when a total of 56 episodes of abnormal movements were noted on video recordings. Only 8 of these abnormal movements had simultaneous electrographic seizures on aEEG.ConclusionUse of simultaneous video and aEEG/EEG recordings in newborns at risk of seizures is feasible. It not only assists confirmation of the presence of seizures but may also help in identifying movements associated with abnormal neurology that are not seizures.
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publisher Frontiers Media S.A.
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spelling doaj-art-461ca3da96db40f59fa29723490d29182025-08-20T02:31:52ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-06-011310.3389/fped.2025.15856061585606Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newbornsAnup Kage0Yesenia C. Santana1Ivone L. Malcolm2Caroline Francia3Michael Yoong4David Wertheim5Divyen Shah6Blizzard Institute, Centre for Genomics, Queen Mary University of London, London, United KingdomBlizzard Institute, Centre for Genomics, Queen Mary University of London, London, United KingdomNeonatal Intensive Care Unit, The Royal London Hospital, London, United KingdomNeonatal Intensive Care Unit, The Royal London Hospital, London, United KingdomNeonatal Intensive Care Unit, The Royal London Hospital, London, United KingdomSchool of Computer Science and Mathematics, Kingston University, Kingston upon Thames, United KingdomNeonatal Intensive Care Unit, The Royal London Hospital, London, United KingdomIntroductionSeizures in newborn infants are considered a neurological emergency requiring prompt treatment to limit exacerbation of brain injury. Digital monitors incorporating limited channel raw EEG and amplitude-integrated EEG (aEEG/EEG) are widely used. This study aimed to determine if continuous video recording with simultaneous aEEG/EEG recording enhances seizure recognition.MethodsNewborns at risk of seizures who underwent neuromonitoring with aEEG/EEG were prospectively recruited to an observational study in a tertiary neonatal centre. Video recordings were commenced after obtaining written consent from parents.ResultsSimultaneous video recordings with aEEG/EEG were obtained in 15/47 newborns recruited to study. A total of 116 electrographic seizure episodes were detected on aEEG/EEG when a total of 56 episodes of abnormal movements were noted on video recordings. Only 8 of these abnormal movements had simultaneous electrographic seizures on aEEG.ConclusionUse of simultaneous video and aEEG/EEG recordings in newborns at risk of seizures is feasible. It not only assists confirmation of the presence of seizures but may also help in identifying movements associated with abnormal neurology that are not seizures.https://www.frontiersin.org/articles/10.3389/fped.2025.1585606/fullnewborn seizuresaEEGEEGvideo recordingsabnormal movements
spellingShingle Anup Kage
Yesenia C. Santana
Ivone L. Malcolm
Caroline Francia
Michael Yoong
David Wertheim
Divyen Shah
Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns
Frontiers in Pediatrics
newborn seizures
aEEG
EEG
video recordings
abnormal movements
title Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns
title_full Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns
title_fullStr Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns
title_full_unstemmed Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns
title_short Continuous video recording with simultaneous amplitude-integrated EEG monitoring to improve seizure recognition in newborns
title_sort continuous video recording with simultaneous amplitude integrated eeg monitoring to improve seizure recognition in newborns
topic newborn seizures
aEEG
EEG
video recordings
abnormal movements
url https://www.frontiersin.org/articles/10.3389/fped.2025.1585606/full
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