Prognostic predictive value of quantitative electroencephalography for patients with large middle cerebral artery infarction
10.3760/cma.j.issn.1673-4165.2012.03.003
- VernacularTitle:定量脑电图对大面积大脑中动脉供血区梗死患者预后的预测价值
- Author:
Ge TIAN
;
Suyue PAN
;
Yongming WU
;
Shengnan WANG
;
Zhenzhou LIN
;
Jingxin WANG
;
Xiaomei ZHANG
;
Zhong JI
- Publication Type:Journal Article
- Keywords:
Electroencephalography;
Infarction,Middle Cerebral Artery;
Stroke;
Brain Ischemia;
Prognosis
- From:
International Journal of Cerebrovascular Diseases
2012;20(3):170-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the prognostic predictive value of quantitative dectroencephalography (qEEG)for patients with large middle cerebral artery infarction (LMCAI).Methods The scores of routine electroencephalography (EEG),qEEG and the Glasgow Coma Scale (GCS) of the patients within 72 hours after symptom onset were recorded.The short-term prognosis (death or survival) was evaluated at 1 month after the onset.The long-term prognosis (good or poor) was evaluated at 3 months after the onset.All the observed data in each prognostic group were compared.Results A total of 105 patients were included in the study.There were significant differences in the margin of amplitude integrated electroencephalogram (aEEG) (upper margin:19.11 ± 7.80 μV vs.11.87 ±6.41 μV;t =2.392,P =0.019; lower margin:11.90 ± 4.78 μV vs.7.58 ± 4.15 μV; t =3.327,P =0.022),Synek-classification (x2 =48.114,P =0.000) between the short-term survival group and the death group; in patients with left LMCAI,there were significant differences in the absolute energy of the β-activity (13.16 ±12.66 μV2 vs.19.20 ±17.96 μV2;t =-2.781,P =0.039),spectral edge frequency 95％ (SEF95％) (9.17 ± 3.24 Hz vs.10.36 ± 3.76 Hz; t =-5.614,P =0.002) between the short-term survival group and the death group.There were significant differences in the age (59.33 ±13.67 years vs.68.87± 10.473 years; t =-3.215,P =0.002),GCS scores (10.86±2.80 vs.9.21 ±2.51;t =2.511,P =0.015),SEF95％ (13.80 ±5.40 Hz vs.10.93 ±4.68 Hz; t ＝2.311,P =0.024) and sides of infarction (x2 =4.737,P =0.030) between the long-term good prognosis group and the poor prognosis group.Conclusion qEEG can be used as an effective means of monitoring for evaluating the prognosis of patients with LMCAI.
