Lateralized Periodic Discharges are Predictive of Seizures in Patients with Intracerebral Hemorrhage
| Autor: | Pravin George, Christopher R. Newey, Nakul Katyal, Aarti Sarwal, Sushma Yerram |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Continuous electroencephalography
seizure Physical examination lcsh:RC346-429 law.invention 03 medical and health sciences 0302 clinical medicine law medicine 030212 general & internal medicine cardiovascular diseases lcsh:Neurology. Diseases of the nervous system Intracerebral hemorrhage medicine.diagnostic_test business.industry Incidence (epidemiology) Glasgow Coma Scale Bleed medicine.disease Intensive care unit intracerebral hemorrhage Anesthesia Cohort Original Article Neurology (clinical) business lateralized periodic discharges 030217 neurology & neurosurgery |
| Zdroj: | Annals of Indian Academy of Neurology Annals of Indian Academy of Neurology, Vol 22, Iss 4, Pp 414-418 (2019) |
| ISSN: | 0972-2327 |
| Popis: | Background: Patients with intracerebral hemorrhages (ICHs) have higher incidence of seizures. Previous studies have suggested that location and size of hemorrhage may increase epileptogenicity. We aim to evaluate seizure development risk factors from clinical examination, imaging, and continuous electroencephalography (cEEG) in critically ill patients with ICH. Methods: We reviewed 57 consecutive patients with ICH admitted to a neurocritical intensive care unit over a 24-month period who were monitored on cEEG. Their demographic and examination data, ICH score, Glasgow Coma Scale (GCS), location of bleed, cEEG patterns, and discharge status were analyzed. Results: Sixteen (28%) patients from our study cohort had seizures at a mean duration of 7.46 h from cEEG hookup. Fifteen (93%) of those patients had only electrographic seizures. The finding of lateralized periodic discharges (LPDs) was significantly (P = 0.019) associated with seizures. Other variables, such as ICH score, size and location of hemorrhage, GCS, mental status, and other cEEG patterns, were not significantly associated with seizures. Conclusion: We found that LPDs were predictive of seizures in ICH patients. cEEG for longer than 24 h is preferred for detection of seizures as they occurred at a mean later than 7 h and most were without clinical signs. |
| Databáze: | OpenAIRE |
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