A BRUE is an event occurring in an infant younger than 1 year when the observer reports a sudden, brief, and now-resolved episode of 1 or more of the following: (1) cyanosis or pallor; (2) absent, decreased, or irregular breathing; (3) marked change in tone (hyper- or hypotonia); or an (4) altered level of responsiveness. BRUE is a diagnosis of exclusion and is used only when there is no explanation for the event after conducting an appropriate history and physical examination.
The AAP have issued an updated Framework for Evaluation of the Higher-Risk Infant After a BRUE, and full text of this can be located here. https://pediatrics.aappublications.org/content/144/2/e20184101
Other clinicians have found aEEG a Useful Adjunct as part of this diagnosis of exclusion in making a neurological assessment. Monitoring the infant’s brain function with aEEG using the automated Background Pattern Classification software on the Olympic Brainz Monitor provided the clinicians a quick, reliable method to determine an infant’s baseline brain activity and screen for seizure activity, and to decide if further cEEG monitoring is warranted.
This Full Case Study can be located in our download section for reference