Document Detail

Early electroencephalography in acute ischemic stroke: prediction of a malignant course?
MedLine Citation:
PMID:  16870329     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: In patients with large middle cerebral artery (MCA) infarction space occupying brain edema may lead to a malignant course with up to 80% mortality under conservative treatment. As interventional treatment strategies must be started before the deterioration occurs predictors of a malignant course are necessary. PATIENTS AND METHODS: This study reports on the results of early electroencephalography (EEG) within 24h after onset of stroke in 25 patients suffering a large MCA infarct (12 patients with a malignant and 13 with a non-malignant course). EEG analysis was performed according well-established indicators for focal as well as global changes. RESULTS: Our findings indicate that the absence of delta activity and the presence of theta and fast beta frequencies within the focus predict a benign course (p < 0.05), whereas diffuse generalized slowing and slow delta activity in the ischemic hemisphere may point to a malignant course. CONCLUSION: This study shows that in patients suffering from large MCA infarction early EEG delivers useful information to select those patients who develop malignant edema.
Lothar Burghaus; Rüdiger Hilker; Christian Dohmen; Bert Bosche; Lutz Winhuisen; Norbert Galldiks; Brigitte Szelies; Wolf-Dieter Heiss
Related Documents :
3265989 - Topographic brain mapping of eeg before and after open-heart surgery.
8575099 - Qualitative and quantitative abnormalities of breath counting during brief generalized ...
336849 - Toxic encephalopathy due to ingestion of bismuth salts: clinical and eeg studies of 45 ...
9282559 - Video--eeg monitoring in intractable attacks of uncertain etiology.
20087209 - Evaluation of postoperative sharp waveforms through eeg and magnetoencephalography.
6225659 - Blind quantitative electron microscopy of cilia from patients with primary ciliary dysk...
3499759 - Application of scs for movement disorders and spasticity.
8560229 - The effect of dialysis on radiocaesium in man.
21341989 - Normal quantity and distribution of mast cells and eosinophils in the pediatric colon.
Publication Detail:
Type:  Journal Article     Date:  2006-07-25
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  109     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-03-20     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  45-9     Citation Subset:  IM    
Department of Neurology, University Hospital, Kerpener Str. 62, 50924 Cologne, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Brain Edema / etiology*,  mortality*
Follow-Up Studies
Infarction, Middle Cerebral Artery / complications*,  physiopathology*,  radiography
Middle Aged
Predictive Value of Tests
Retrospective Studies
Time Factors
Tomography, X-Ray Computed
Trauma Severity Indices

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Comparison of the natural history and prognostic features of early onset and adult onset multiple sc...
Next Document:  Birt-Hogg-Dubé (BHD) gene mutations in human gastric cancer with high frequency microsatellite inst...