Electroencephalography for monitoring cortical electrical activity related to intracranial pressure in patients with traumatic brain injury: a systematic review - Summary - MDSpire

Electroencephalography for monitoring cortical electrical activity related to intracranial pressure in patients with traumatic brain injury: a systematic review

  • By

  • Lenstra, Jelmer-Joost

  • Eisele Marcolin, Gustavo

  • Jacobs, Bram

  • Günther, Ulf

  • Elting, Jan-Willem

  • Drost, Gea

  • van Putten, Michel J.A.M.

  • van der Naalt, Joukje

  • Van Der Horn, Harm Jan

  • May 7, 2026

  • 0 min

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Objective:

To evaluate the relationship between electroencephalography (EEG) and intracranial pressure (ICP) in adult patients with traumatic brain injury (TBI), highlighting the novelty of this systematic review.

Key Findings:
  • Three studies reported on the incidence of post-traumatic seizures and ICP.
  • One study indicated a directional relationship between EEG activity and ICP.
  • There is a lack of comprehensive evidence on the relationship between EEG and ICP in TBI patients, particularly regarding the types of studies available.
Interpretation:

The findings suggest a need for further systematic and well-powered research to understand the interplay between EEG and ICP, with potential implications for clinical practice.

Limitations:
  • Limited studies available on the relationship between EEG and ICP, particularly observational and interventional studies.
  • Existing studies may not provide a comprehensive understanding of the underlying pathophysiology.
Conclusion:

The review highlights the necessity for advanced monitoring modalities like EEG to enhance understanding of intracranial processes in TBI patients, emphasizing its clinical relevance.

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