Actualización
Revista Chilena de Epilepsia
(OHFWURHQFHIDORJUDItD1HRQDWDO1RUPDO
Loreto Ríos1, Catalina Torres2
lrios@clc.cl
ABSTRACT
Neonatal EEG monitoring is the most accurate tool
to determine the maturity of the central nervous
system , being even superior to the clinical exa-
mination in the detection and prognosis of various
brain dysfunctions. For its proper interpretation is
it necessary to know in detail the brain maturatio-
nal changes that are expressed at each gestational
age, the parameters which will be analyzed and the
optimal technical conditions. The aim of this article
is to give a practical and complete approach on
the normal electroencephalography of the neonatal
period.
Key words: normal neonatal electroencephalogra-
phy
Año 15, Nº 2, Agosto 2015
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1. Neuróloga Infantil. Liga Chilena Contra la Epilepsia. Centro
Epilepsia Clínica Las Condes.
2. Neuróloga adultos, Clínica Santa María. HOHFWURHQFHIDORJUDItD SHGLiWULFD SRU OR TXH HVWH
Recibido 1-5-15. Aceptado 30-8-15.


Electroencefalografía neonatal normal Loreto Ríos et al.

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Revista Chilena de Epilepsia Año 15, Nº 2, Agosto 2015

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Electroencefalografía neonatal normal
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Figura 2: RN de 28 semanas. Se observa un trazado discontinuo durante todo el registro. Durante atenua-
FLyQGHYROWDMHVHREVHUYDWKHWDUtWPLFRRFFLSLWDOS: 7uV/mm, HF: 70 hz, LF: 0,5 hz, V: 15mm/s.

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Revista Chilena de Epilepsia Año 15, Nº 2, Agosto 2015

Tips < 28 semanas: Máxima discontinuidad, delta brush, alta sincronía.

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Figura 3: RN de 30 semanas. Se observa un trazado discontinuo con delta brush (*) e inicio de theta
rítmico temporal. S: 7uV/mm, HF: 70 hz, LF: 0,5 hz, V: 15mm/s. EEG Neonatal ALADE 2013 Dra. M. Yacubián.


Electroencefalografía neonatal normal Loreto Ríos et al.

Figura 4: RN de 31 semanas. Se observa aparición de theta rítmico temporal (*) y persistencia de theta
occipital (**).S: 7uV/mm, HF: 70 hz, LF: 0,5 hz, V: 15mm/s. EEG Neonatal ALADE 2013 Dra. M. Yacubián.

Tips 29-31 semanas:,QLFLR6$FRPRFRQWLQXRWKHWDUtWPLFRWHPSRUDOEDMDVLQFURQtDLQWHUKHPLVIpULFD

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Revista Chilena de Epilepsia
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Tips 32-34 semanas: SQ discontinuo intervalo
breve, SA y vigilia continuo. Transientes agu-
das multifocales y reactividad.
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Figura 5: RN de 37 semanas. Se registra SQ con trazado alternante. S: 7uV/mm, HF: 70 hz, LF: 0,5 hz, V: 15mm/s.


Electroencefalografía neonatal normal
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Loreto Ríos et al.
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Revista Chilena de Epilepsia Año 15, Nº 2, Agosto 2015

Figura 7: RN de 38 semanas. Se observa aparición de delta frontal monorítmico S: 7uV/mm, HF: 70 hz, LF:
0,5 hz, V: 15mm/s.

Tips 35-37 semanas: Trazado alternante en SQ, transientes agudas frontales, delta frontal monorít-
mico.

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