During an EEG, what finding could suggest status epilepticus?

Continuous seizure activity is a critical finding in an EEG that can suggest status epilepticus. This condition is characterized by prolonged, continuous seizure activity, which can last for more than five minutes or involve multiple seizures without complete recovery in between. In the context of EEG monitoring, the presence of continuous seizure activity indicates that the neural circuits are excessively firing and unable to return to their usual baseline state. This abnormal electrical activity can lead to significant neurological impairment and requires immediate medical intervention.

The absence of waveforms indicates a lack of any detectable brain activity, which does not correlate with status epilepticus. Intermittent slowing refers to periods of reduced brain activity but does not confirm the ongoing, unrelenting seizure pattern associated with status epilepticus. Spindle activity is typically seen in normal sleep and is not indicative of seizure activity or status epilepticus. Thus, continuous seizure activity stands out as the hallmark EEG finding that suggests this urgent and potentially life-threatening condition.