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Verfasst von:Wolf, Marc [VerfasserIn]   i
 Ebert, Anne [VerfasserIn]   i
 Chatzikonstantinou, Anastasios [VerfasserIn]   i
Titel:The use of routine EEG in acute ischemic stroke patients without seizures
Titelzusatz:generalized but not focal EEG pathology is associated with clinical deterioration
Verf.angabe:Marc E. Wolf, Anne D. Ebert, Anastasios Chatzikonstantinou
E-Jahr:2017
Jahr:01 Jun 2016
Umfang:6 S.
Fussnoten:Gesehen am 09.05.2018
Titel Quelle:Enthalten in: The international journal of neuroscience
Ort Quelle:London : Taylor & Francis, 1970
Jahr Quelle:2017
Band/Heft Quelle:127(2017), 5, Seite 421-426
ISSN Quelle:1543-5245
Abstract:Purpose: Specialized electroencephalography (EEG) methods have been used to provide clues about stroke features and prognosis. However, the value of routine EEG in stroke patients without (suspected) seizures has been somewhat neglected. We aimed to assess this in a group of acute ischemic stroke patients in regard to short-term prognosis and basic stroke features. Methods: We assessed routine (10-20) EEG findings in 69 consecutive acute ischemic stroke patients without seizures. Associations between EEG abnormalities and NIHSS scores, clinical improvement or deterioration as well as MRI stroke characteristics were evaluated. Results: Mean age was 69 ± 18 years, 43 of the patients (62.3%) were men. Abnormal EEG was found in 40 patients (58%) and was associated with higher age (p = 0.021). The most common EEG pathology was focal slowing (30; 43.5%). No epileptiform potentials were found. Abnormal EEG in general and generalized or focal slowing in particular was significantly associated with higher NIHSS score on admission and discharge as well as with hemorrhagic transformation of the ischemic lesion. Abnormal EEG and generalized (but not focal) slowing were associated with clinical deterioration ( p = 0.036, p = 0.003). Patients with lacunar strokes had no EEG abnormalities. Conclusions: Abnormal EEG in general and generalized slowing in particular are associated with clinical deterioration after acute ischemic stroke. The study demonstrates the value of routine EEG as a simple diagnostic tool in the evaluation of stroke patients especially with regard to short-term prognosis.
DOI:doi:10.1080/00207454.2016.1189913
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1080/00207454.2016.1189913
 Volltext: https://doi.org/10.1080/00207454.2016.1189913
 DOI: https://doi.org/10.1080/00207454.2016.1189913
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:EEG
 ischemic stroke
 NIHSS score
 stroke prognosis
K10plus-PPN:1574316656
Verknüpfungen:→ Zeitschrift

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