Continuous EEG in the Neuro-ICU: Whom to Monitor, How Long to Continue, and When the Ictal–Interictal Continuum Demands Treatment

Continuous EEG is most useful when it answers a defined clinical question, tracks seizure risk across changing brain states, and guides treatment through anesthetic withdrawal. Definite seizures warrant treatment, but ictal–interictal continuum patterns require contextual judgment because suppressibility alone does not establish pathogenicity or benefit.