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Hyper-acute EEG alterations predict functional and morphological outcomes in thrombolysis-treated ischemic stroke [Elektronski vir] : a wireless EEG studyAjčević, Miloš ...Owing to the large inter-subject variability, early post-stroke prognosis is challenging, and objective biomarkers that can provide further prognostic information are still needed. The relation ... between quantitative EEG parameters in pre-thrombolysis hyper-acute phase and outcomes has still to be investigated. Hence, possible correlations between early EEG biomarkers, measured on bedside wireless EEG, and short-term/long-term functional and morphological outcomes were investigated in thrombolysis-treated strokes. EEG with a wireless device was performed in 20 patients with hyper-acute (< 4.5 h from onset) anterior ischemic stroke before reperfusion treatment. The correlations between outcome parameters (i.e., 7-day/12-month National Institutes of Health Stroke Scale NIHSS, 12-month modified Rankin Scale mRS, final infarct volume) and the pre-treatment EEG parameters were studied. Relative delta power and alpha power, delta/alpha (DAR), and (delta+theta)/(alpha+beta) (DTABR) ratios significantly correlated with NIHSS 7-day (rho = 0.80, − 0.81, 0.76, 0.75, respectively) and NIHSS 12-month (0.73, − 0.78, 0.74, 0.73, respectively), as well as with final infarct volume (0.75, − 0.70, 0.78, 0.62, respectively). A good outcome in terms of mRS ≤ 2 at 12 months was associated with DAR parameter (p = 0.008). The neurophysiological biomarkers obtained by non-invasive and portable technique as wireless EEG in the early pre-treatment phase may contribute as objective parameters to the short/long-term outcome prediction pivotal to better establish the treatment strategies.Vir: Medical & biological engineering & computing [Elektronski vir] : journal of the International Federation for Medical & Biological Engineering. - ISSN 1741-0444 (Vol. 59, iss. 1, Jan. 2021, str. 121-128)Vrsta gradiva - e-članek ; neleposlovje za odrasleLeto - 2021Jezik - angleškiCOBISS.SI-ID - 103339011
Avtor
Ajčević, Miloš |
Furlanis, Giovanni |
Naccarato, Marcello |
Miladinović, Aleksandar |
Stella, Alex B. |
Caruso, Paola |
Cillotto, Tommaso |
Accardo, Agostino |
Manganotti, Paolo
Teme
Možganska kap |
Možganska ishemija |
Medicinske raziskave |
Elektroencefalografija |
biomedicina |
signali |
biomedicinska obdelava signalov |
ishemična možganska kap |
CT perfuzija |
biomedical signal processing |
CT perfusion |
EEG |
hyper acute ischemic stroke |
outcome prediction
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Ajčević, Miloš | ![]() |
Furlanis, Giovanni | ![]() |
Naccarato, Marcello | ![]() |
Miladinović, Aleksandar | 55528 |
Stella, Alex B. | ![]() |
Caruso, Paola | ![]() |
Cillotto, Tommaso | ![]() |
Accardo, Agostino | ![]() |
Manganotti, Paolo | ![]() |
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