What is the role of post acute EEG in prediction of late neurological outcome in severe disorders of consciousness?

IF 0.6 Q4 CLINICAL NEUROLOGY

Future Neurology Pub Date : 2020-02-01 DOI:10.2217/fnl-2019-0017

M. Scarpino, F. Lolli, G. Lanzo, A. Grippo

引用次数: 1

Abstract

Causes of development of severe disorders of consciousness Hypoxic-ischemic encephalopathy, traumatic brain injury, intracerebral hemorrhage, subarachnoid hemorrhage and brain infarction are common causes of mortality and morbidity [1–8]. Many patients affected by these acquired brain injuries (ABIs) die in the acute stages during their stay in the intensive care unit; others, after a coma phase, usually develop a severe disorder of consciousness (DoC), characterized by an unresponsive wakefulness syndrome or a minimally conscious state (MCS). In some cases, consciousness level improves, transitioning to an emergence from MCS (E-MCS); however, patients with E-MCS often show a severe neurological disability [9]. In recent years, improvements both in intensive care technology and in neurosurgical procedures have reduced the mortality rate; however, as a result, many patients discharged from the acute setting exhibit severe DoCs.

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急性后脑电图在预测严重意识障碍的晚期神经系统结果中的作用是什么？

严重意识障碍的发展原因缺氧缺血性脑病、创伤性脑损伤、脑出血、蛛网膜下腔出血和脑梗死是导致死亡和发病的常见原因[1-8]。许多受这些后天性脑损伤（ABI）影响的患者在重症监护室期间在急性期死亡；其他人在昏迷阶段后，通常会发展为严重的意识障碍（DoC），其特征是无反应清醒综合征或最低意识状态（MCS）。在某些情况下，意识水平提高，从MCS（E-MCS）过渡到出现；然而，E-MCS患者往往表现出严重的神经功能障碍[9]。近年来，重症监护技术和神经外科手术的改进降低了死亡率；然而，结果是，许多从急性环境中出院的患者表现出严重的DoCs。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Future Neurology CLINICAL NEUROLOGY-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The neurological landscape is changing rapidly. From the technological perspective, advanced molecular approaches and imaging modalities have greatly increased our understanding of neurological disease, with enhanced prospects for effective treatments in common but very serious disorders such as stroke, epilepsy, multiple sclerosis and Parkinson’s disease. Nevertheless, at the same time, the healthcare community is increasingly challenged by the rise in neurodegenerative diseases consequent upon demographic changes in developed countries.