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← 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.
Generation & measurement notes
  • Define persistence across brief artifact and structured N2 abnormalities.

Editorial draft · clinical review pending