← Critical-care EEG
State changes and N2 transients
Sustained alertness/stimulation-related backgrounds with separate N2-transient characterization.
Criteria & assessment
- Present requires >=2 background types, each sustained >=60 s.
- Stimulation should transition less-alert to more-alert/stimulated; spontaneous transitions qualify; the more-alert state is primary.
- State changes virtually always imply reactivity; reactivity need not imply a state change when it lasts <60 s.
- Categories: present with normal N2 transients; present with abnormal N2 transients; present without N2 transients; absent.
- Describe K-complexes and spindles separately: present-normal, present-abnormal with abnormality, or absent.
Source · 2021ACNS critical-care EEG terminology · PDF p. 7 ↗
Generation & measurement notes
- Define persistence across brief artifact and structured N2 abnormalities.
Editorial draft · clinical review pending