Electroencephalographic (EEG) recording on an emergent basis is becoming more commonplace as the phenomenon of nonconvulsive status epilepticus (NCSE) is appreciated. In this condition, the patient seems to be seizure free but unresponsive and the EEG indicates a condition of subclinical status epilepticus and warrants more aggressive treatment to improve the EEG abnormality, if this is possible. In a child who unexpectedly remains comatose or in a neonate where clinical seizures may be difficult to detect, immediate and continuous EEG monitoring may more reliably direct aggressive antiepileptic drug (AED) treatment.
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