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EEG signal varies with different outcomes in comatose patients: A quantitative method of electroencephalography reactivity

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机构: [a]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [b]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [c]College of Electrical and Control Engineering, North China University of Technology, Beijing, China
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关键词: Coma Connectivity EEG reactivity Electrical stimuli Electroencephalogram Power spectrum Quantitative EEG

摘要:
Background: Electroencephalographic reactivity (EEG-R) is a major predictor of outcome in comatose patients; however, the inter-rater reliability is limited due to the lack of homogeneous stimuli and quantitative interpretation. New Methods: EEG-R testing was employed in comatose patients by quantifiable electrical stimulation. Reactivity at different frequency bands was computed as the difference between pre- and post-stimulations in power spectra and connectivity function (including magnitude squared coherence and transfer entropy). The clinical outcomes were dichotomized as good and poor according to the recovery of consciousness. Signal discrimination of EEG-R was compared between the two groups. Results: A total of 18 patients (43%) regained consciousness at a 3-month follow-up. In the patients who regained consciousness, the EEG power increased significantly (P < 0.05) at the Alpha and Beta frequency bands after stimulation as compared to those with no behavioral awakening. Also, connectivity enhancement (including linear and nonlinear analysis) in the Beta and Gamma bands and connectivity decrease (nonlinear transfer entropy analysis) in the Delta band after stimulus were observed commonly in the good outcome group. Comparison with Existing Method(s): In this study, the combined use of quantifiable stimulation and quantitative analysis shed new light on differentiating brain responses in comatose patients with good and poor outcomes as well as exploring the nature of EEG changes concerning the recovery of consciousness. Conclusions: The combination of quantifiable electrical stimulation and quantitative analysis with spectral power and connectivity for the EEG-R may be a promising method to predict the outcome of comatose patients. © 2020

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 3 区 生化研究方法 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 生化研究方法 4 区 神经科学
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出版当年[2018]版:
Q2 BIOCHEMICAL RESEARCH METHODS Q3 NEUROSCIENCES
最新[2023]版:
Q2 BIOCHEMICAL RESEARCH METHODS Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [a]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
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通讯机构: [*1]Department of Neurology, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing 100053, China [*2]College of Electrical and Control Engineering, North China University of Technology, No 5 Jinyuanzhuang Street, Shijingshan District, Beijing 100144, China.
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