Prognostic value of electroencephalography and evoked potentials in the early course of malignant middle cerebral artery infarction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-05

AUTHORS

Lothar Burghaus, Wei-Chi Liu, Christian Dohmen, Walter F. Haupt, Gereon R. Fink, Carsten Eggers

ABSTRACT

Space-occupying brain edema may lead to a malignant course in patients with large middle cerebral artery infarction. Decompressive hemicraniectomy has to be initiated early to prevent further tissue damage. In this retrospective study, we analyzed electroencephalography (EEG) and evoked potentials (EPs), obtained within 24 h after onset of stroke, in 22 patients suffering from a large middle cerebral artery infarction. Our findings indicate a prognostic value of EEG and brainstem auditory EP (BAEP): the absence of delta activity and the presence of theta and fast beta frequencies within EEG-focus predicted a non-malignant course. In contrast, diffuse generalized slowing and slow delta activity in the ischemic hemisphere pointed to a malignant course. Likewise, pathological BAEP were correlated with a malignant course. The coexistence of background slowing and pathological BAEP showed the highest level of significance. In conclusion, our findings implicate an additional early application of electrophysiological methods in stroke patients. EEG and EP deliver useful information to select those patients who develop malignant edema. More... »

PAGES

671-678

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10072-012-1102-1

DOI

http://dx.doi.org/10.1007/s10072-012-1102-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046494161

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22538759


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