• Users Online: 721
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2020  |  Volume : 5  |  Issue : 3  |  Page : 316-321

Prognostic value of electroencephalography pattern in prediction of survival and early myoclonus after cardiac arrest


1 Department of Neuropsychiatry, Assiut University Hospital, Assiut, Egypt
2 Departments of Neuropsychiatry, Faculty of Medicine, Assiut University, Assiut, Egypt
3 Departments of Cardiology, Faculty of Medicine, Assiut University, Assiut, Egypt

Correspondence Address:
Silvana M Nageeb
Department of Neurology and Psychiatry, Faculty of Medicine, Assiut University, Assiut
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCMRP.JCMRP_12_20

Rights and Permissions

Background Evolution of the electroencephalography (EEG) background pattern is a robust contributor to the prediction of poor or good outcome of comatose patients after cardiac arrest (CA). Aim The aim of the study was to use EEG as a prognostic tool for the prediction of survival after CA and the incidence of early postanoxic myoclonus. Patients and methods We enrolled 40 patients, post-CA. A 30-min EEG was performed on all patients, as soon as possible after the patients had arrived in the ICU using a portable EEG. Results Out of the 40 patients studied, 29 (72.5%) were alive while 11 (27.5%) patients were dead: Regarding patterns of EEG, 86.2% of alive patients had a benign pattern, while 63.6% of dead patients had a highly malignant pattern. Regarding the cerebral performance category (CPC), 79.3% of alive patients had cerebral performance grade 1 (CPC 1) while 54.5% of dead patients had CPC 4. Frequency of seizures after resuscitation was significantly higher in dead patients (45.5%) versus 17.2% in alive patients (P = 0.03). Conclusion Benign EEG patterns and CPC 1 and CPC 2 were correlated to good outcome in patients post-CA in comparison to malignant EEG pattern and CPC 3 and CPC 4, respectively. Presence of early posthypoxic myoclonus had been invariably related to poor outcome.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed208    
    Printed8    
    Emailed0    
    PDF Downloaded24    
    Comments [Add]    

Recommend this journal