Continuous video electroencephalography (CEEG) monitoring of critically ill infants and children has expanded rapidly in recent years. Indications for CEEG include evaluation of patients with altered mental status, characterization of paroxysmal events, and detection of electrographic seizures, including monitoring of patients with limited neurological examination or conditions that put them at high risk for electrographic seizures (e.g., cardiac arrest or extracorporeal membrane oxygenation cannulation). Depending on the inclusion criteria and clinical characteristics of the population studied, the percentage of pediatric patients with electrographic seizures varies from 7% to 46% and with electrographic status epilepticus from 1% to 23%. There is also evidence that epileptiform and background CEEG patterns may provide important information about prognosis in certain clinical populations. Quantitative EEG techniques are emerging as a tool to enhance the value of CEEG to provide real-time bedside data for management and prognosis. Continued research is needed to understand the clinical value of seizure detection and identification of other CEEG patterns on the outcomes of critically ill infants and children.

近年来，对危重婴儿和儿童的连续视频脑电图（CEEG）监控已迅速扩展。CEEG的适应症包括对精神状态改变的患者进行评估，发作性事件的特征以及电图发作的检测，包括监测神经系统检查受限或使他们处于高电图发作风险（例如心脏骤停或体外膜）的患者充氧插管）。根据纳入标准和所研究人群的临床特征，患有电图癫痫发作的小儿患者的百分比从7％到46％不等，患有癫痫病的电子患者的百分比为1％到23％。也有证据表明癫痫样和背景脑电图模式可能提供有关某些临床人群预后的重要信息。定量脑电图技术正在成为一种工具，以增强脑电图的价值，从而为管理和预后提供实时床边数据。需要继续进行研究以了解癫痫发作检测和鉴定其他CEEG模式对危重婴儿和儿童结局的临床价值。