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Therapeutic hypothermia is now the cornerstone of postanoxic cerebral protection.
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Previous studies reported a variable prevalence of postanoxic seizures from 10% [ 11] to 47% [ 10].
Neurophysiological evaluation constitutes the key to early information about the neurological prognostication of postanoxic coma.
One area in which there is some clarity is in the case of postanoxic brain injury.
At this time the strongest evidence for its efficacy exists for various forms of postanoxic encephalopathy.
How can the diagnostic tools in the early phase of postanoxic coma be improved?
Although our study was not primarily focused on the epidemiology of postanoxic seizures, this issue deserves further discussion.
These studies, however, either included pediatric populations only [ 10] or were focused primarily on the prevalence of postanoxic seizures [ 11].
They evaluated the two main objectives of EEG monitoring in CSCAs, namely the assessment of background activity and reactivity and the detection of postanoxic status epilepticus (PSE).
Additional larger prospective studies are needed to confirm our findings and to verify further whether continuous EEG can be helpful for the prognostic assessment of postanoxic coma.
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