EEG in ischaemic stroke: Quantitative EEG can uniquely inform (sub-)acute prognoses and clinical management

Highlights ► Quantitative electroencephalographic (QEEG) abnormality indices sensitive to power of slow relative to faster activity, or to interhemispheric asymmetry, can uniquely inform clinical prognoses and management during (sub-)acute ischaemic stroke. ► Continuous bedside monitoring of these Q...

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Bibliographic Details
Published in:Clinical neurophysiology 2013-01, Vol.124 (1), p.10-19
Main Authors: Finnigan, Simon, van Putten, Michel J.A.M
Format: Article
Language:English
Subjects:
Acute stroke
Biological and medical sciences
Brain Ischemia - physiopathology
Brain Ischemia - therapy
Case Management
Electrodiagnosis. Electric activity recording
Electroencephalography
Humans
Investigative techniques, diagnostic techniques (general aspects)
Ischaemia
Medical sciences
Monitoring, Physiologic
Nervous system
Neurology
Prognosis
Quantitative electroencephalography
Stroke - physiopathology
Stroke - therapy
Stroke outcomes
Thrombolysis
Thrombolytic Therapy - methods
Vascular diseases and vascular malformations of the nervous system
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Summary:Highlights ► Quantitative electroencephalographic (QEEG) abnormality indices sensitive to power of slow relative to faster activity, or to interhemispheric asymmetry, can uniquely inform clinical prognoses and management during (sub-)acute ischaemic stroke. ► Continuous bedside monitoring of these QEEG indices during thrombolytic therapy may instantaneously inform clinicians about the efficacy of same and thereby inform decisions about “bridging” protocols involving intra-arterial interventions. ► Current clinical EEG systems compute and display various QEEG indices, facilitating non-expert EEG interpretation. Hence wider utilisation of such technology appears warranted and would address a key stroke management objective proposed by numerous stroke opinion leaders.
ISSN:1388-2457
1872-8952
DOI:10.1016/j.clinph.2012.07.003