Volume 22 Issue 1
Jan.  2024
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ZHU Yingbiao, GUAN Changrong, LYU Jin, CHEN Weikang, LI Jie, LAN Likang. The value of quantitative electroencephalography in assessing collateral circulation and prognosis in middle cerebral artery occlusive cerebral infarction[J]. Chinese Journal of General Practice, 2024, 22(1): 108-111. doi: 10.16766/j.cnki.issn.1674-4152.003343
Citation: ZHU Yingbiao, GUAN Changrong, LYU Jin, CHEN Weikang, LI Jie, LAN Likang. The value of quantitative electroencephalography in assessing collateral circulation and prognosis in middle cerebral artery occlusive cerebral infarction[J]. Chinese Journal of General Practice, 2024, 22(1): 108-111. doi: 10.16766/j.cnki.issn.1674-4152.003343
shu

The value of quantitative electroencephalography in assessing collateral circulation and prognosis in middle cerebral artery occlusive cerebral infarction

doi: 10.16766/j.cnki.issn.1674-4152.003343
  • 1.

    Department of Neurology, the Sixth Affiliated Hospital of Wenzhou Medical University, Lishui, Zhejiang 323000, China

Funds:

 2021KY1233

  • Received Date: 2023-07-22
    Available Online: 2024-03-09
    Abstract
  •   Objective  To analyze the changes of electroencephalogram (EEG) indices in patients with cerebral infarction and to explore the value of quantitative EEG on collateral circulation and prognosis of middle cerebral artery occlusive cerebral infarction.  Methods  Seventy-eight patients with imaging-confirmed middle cerebral artery occlusive stroke who were seen at the Department of Neurology, Lishui People's Hospital between June 2020 and December 2022 were selected. EEG, multitemporal CTA (mCTA), and NIHSS score were completed within 72 hours of onset. MBI scores were completed 3 months after onset. Collateral circulation was assessed using the mCTA ASITN/SIR-based collateral circulation assessment system. Correlation of EEG indices with mCTA ASITN/SIR-based collateral circulation scores, NIHSS scores, and MBI scores was assessed by Pearson correlation analysis.  Results  The EEG indices DAR, DTABR and pdBSI were negatively correlated with ASITN/SIR collateral circulation scores (r=-0.734, -0.747, -0.759; P < 0.01), MBI scores (r=-0.802, -0.810, -0.853; P < 0.01) and positively correlated with NIHSS scores (r=0.876, 0.875, 0.813; P < 0.01). The EEG indices DAR (t=6.374, P < 0.001), DTABR (t=6.575, P < 0.001) and pdBSI (t=9.171, P < 0.001) were higher in the poor prognosis group than in the good prognosis group. ROC curve analysis showed that the EEG indices DAR, DTABR and pdBSI all had high predictive value for the risk of patients developing adverse outcomes in patients (AUC>0.87).  Conclusion  Quantitative EEG can effectively assess the severity of middle cerebral artery occlusive stroke and collateral circulation, and also has a good predictive value for 3-month neurological prognosis.

     

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