← Neonatal EEG
Background variability and reactivity
Variability is spontaneous change from internal state; reactivity is cerebral EEG change after external stimulation.
Criteria & assessment
- A qualifying response is a conspicuous change in frequency, continuity, or voltage.
- Record each feature as yes, no, or unclear/unknown/not applicable.
- Variability first appears near 25 weeks PMA, increases by 28 weeks, and is well established around 30-31 weeks.
- Reactivity first appears around 30-32 weeks PMA; record stimulus type and strength.
- Separate cerebral change from movement, EMG, crying, and respiratory artifacts; arousal-related voltage attenuation is not automatically discontinuity.
Source · 2012 guideline / 2013 publicationACNS neonatal terminology, official PDF · PDF p. 11 ↗
Editorial draft · clinical review pending