ISCHAEMIC STROKE - CLINICAL PROFILE AND EVALUATION WITH ELECTROENCEPHALOGRAPHY AND MRI BRAIN

被引:0
|
作者
Murthy, Sreenivasa L. [1 ]
Sudulagunta, Sreenivasa Rao [2 ]
Raja, Shiva Kumar Bangalore [3 ]
Bhaktavatchalam [3 ]
Sodalagunta, Mahesh Babu [3 ]
Sepehrar, Mona [4 ]
Dhanish, Munawar M. [3 ]
Thejaswi, Keshava Chandra [3 ]
机构
[1] Dr BR Ambedkar Med Coll, Dept Med, Bangalore 560045, Karnataka, India
[2] Dr BR Ambedkar Med Coll, Dept Med, Internal Med, Bangalore, Karnataka, India
[3] Dr BR Ambedkar Med Coll, Dept Gen Med, Bangalore, Karnataka, India
[4] Dr BR Ambedkar Med Coll, Pharm, Bangalore, Karnataka, India
关键词
Ischaemic Stroke; Encephalography; MRI Brain; Periodic Lateralised Epileptiform Discharges;
D O I
10.14260/jemds/2016/1700
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND Acute Ischaemic Stroke (AIS) is characterised by thrombotic or embolic occlusion of a cerebral artery. Electroencephalography (EEG) is an electrophysiological monitoring method to record electrical activity of the brain measuring voltage fluctuations resulting from ionic current within the neurons of the brain. Our study evaluated stroke with EEG and MRI Brain. MATERIALS AND METHODS Our cross-sectional study enrolled 150 patients of ischaemic stroke from July 2012 till July 2015. A detailed study of 150 cases of ischaemic stroke with mode of presentation, Laboratory data, MRI scan and EEG features has been made. RESULTS Majority of patients are aged above 60 years. Regarding risk factors, 76% (114) of patients had hypertension, 66% (99) had diabetes mellitus, 62% (93) were smokers and 42% (63) had history of alcoholism; 105 patients (70%) had abnormal total cholesterol level, 114 patients (76%) had abnormal triglyceride levels and 117 patients (78%) had abnormal HDL levels. Abnormal EEG was observed in 87 patients (58%) out of a total of 150 patients, out of which 45 patients developed post stroke seizures. CONCLUSION Elderly individuals are at increased risk of stroke. Comorbidities and lipid abnormalities increase the risk significantly. MRI is the most useful investigation for diagnosis and management in ischaemic stroke. Abnormal EEG and generalised slowing pattern observed specifically are associated with complications and mortality after acute ischaemic stroke. Larger infarct volume is associated with higher delta power in EEG.
引用
收藏
页码:7509 / 7514
页数:6
相关论文
共 50 条
  • [1] In vivo MRI of brain inflammation in human ischaemic stroke
    Saleh, A
    Schroeter, M
    Jonkmanns, C
    Hartung, HP
    Mödder, U
    Jander, S
    [J]. BRAIN, 2004, 127 : 1670 - 1677
  • [2] Electroencephalography and Brain MRI Patterns in Encephalopathy
    Wabulya, Angela
    Lesser, Ronald P.
    Llinas, Rafael
    Kaplan, Peter W.
    [J]. CLINICAL EEG AND NEUROSCIENCE, 2016, 47 (02) : 150 - 156
  • [3] Undiagnosed major risk factors in patients with acute ischaemic stroke: clinical profile, stroke mechanisms and outcome
    Rego, A.
    Nannoni, S.
    Scherz, A.
    Eskandari, A.
    Salerno, A.
    Pereira, M.
    Strambo, D.
    Michel, P.
    [J]. EUROPEAN JOURNAL OF NEUROLOGY, 2022, 29 : 544 - 544
  • [4] MRI guides diagnostic approach for ischaemic stroke
    Kumar, M. A.
    Vangala, H.
    Tong, D. C.
    Campbell, D. M.
    Balgude, A.
    Eyngorn, I.
    Beraud, A. S.
    Olivot, J. M.
    Hsia, A. W.
    Bernstein, R. A.
    Wijman, C. A.
    Lansberg, M. G.
    Mlynash, M.
    Hamilton, S.
    Moseley, M. E.
    Albers, G. W.
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2011, 82 (11): : 1201 - 1205
  • [5] Detection of Brain Stroke using Electroencephalography (EEG)
    Garg, Pinanshu
    Sonker, Prateek Kumar
    Shakya, Kshitij
    Khurana, Dheeraj
    Roy, Shubhajit
    [J]. 2019 13TH INTERNATIONAL CONFERENCE ON SENSING TECHNOLOGY (ICST), 2019,
  • [6] MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice
    Jakub Čivrný
    Dorňák Tomáš
    Marie Černá
    [J]. Neuroradiology, 2024, 66 : 305 - 315
  • [7] MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice
    Civrny, Jakub
    Tomas, Dornak
    Cerna, Marie
    [J]. NEURORADIOLOGY, 2024, 66 (03) : 305 - 315
  • [8] Role of foetal MRI in the evaluation of ischaemic-haemorrhagic lesions of the foetal brain
    Manganaro, Lucia
    Bernardo, Silvia
    La Barbera, Laura
    Noia, Giuseppe
    Masini, Lucia
    Tomei, Alessandra
    Fierro, Francesca
    Vinci, Valeria
    Sollazzo, Paolo
    Silvestri, Evelina
    Giancotti, Antonella
    Marini, Mario
    [J]. JOURNAL OF PERINATAL MEDICINE, 2012, 40 (04) : 419 - 426
  • [9] A porous circulation model of the human brain for in silico clinical trials in ischaemic stroke
    Jozsa, T., I
    Padmos, R. M.
    Samuels, N.
    El-Bouri, W. K.
    Hoekstra, A. G.
    Payne, S. J.
    [J]. INTERFACE FOCUS, 2021, 11 (01)
  • [10] Application of Transcranial Magnetic Stimulation with Electroencephalography in the Evaluation of Brain Function Changes after Stroke
    Mo, Linhong
    Nie, Yiqiu
    Wan, Guiling
    Zhang, Yingbin
    Zhao, Man
    Wu, Jiaojiao
    Wang, Huiqi
    Li, Qing
    Liu, Aixian
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2023, 2023