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← 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