지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 933 - 938 (6page)
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Purpose: Changes in electroencephalography (EEG) patterns may offer a clue to the cause of altered mental status and suggest the prognoses of patients with such mental status. We aimed to identify the EEG patterns in patients with altered mental status and to correlate EEG findings with clinical prognoses. Materials and Methods: We included 105 patients with altered mental status who underwent EEG. EEG and clinical chart reviews with ongoing patient follow-ups were performed to determine the clinical prognosis of the patients. Clinical data were sorted using the Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS). EEG findings were classified according to a method suggested by Scollo-Lavizzari.
The EEGs were analyzed to find out whether any correlation existed with the prognoses of patients. Results: Nonconvulsive status epilepticus (NCSE) was detected in only three patients (2.9%). Specific EEG patterns were observed in 28 patients. Twenty-nine (27.6%) patients expired, and 45 (42.9%) patients were in a vegetative state. EEG grade and GCS significantly correlated with GOS. EEG grade alone had a correlation with GCS. Patients with a severe EEG finding had a poor prognosis. Conclusion: EEG findings reflect the mental status of patients, and EEG grades are correlated with the clinical prognosis of patients. Although EEG is not frequently performed on patients with altered mental state, it can play a supplemental role in establishing a prognosis. Thus, the use of EEG should be emphasized in clinical setting.
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참고문헌 (27)
참고문헌 신청
Bedell SE / 1983 / Survival after cardiopulmonary resuscitation in the hospital / N Engl J Med 309 : 569 ~ 576
Cant BR / 1984 / Monitoring by compressed spectral array in prolonged coma / Neurology 34 : 35 ~ 39
Chiappa KH / 1998 / Evaluation and prognostication in coma / Electroencephalogr Clin Neurophysiol 106 : 149 ~ 155
Claassen J / 2004 / Detection of electrographic seizures with continuous EEG monitoring in critically ill patients / Neurology 62 : 1743 ~ 1748
Edgren E / 1987 / Prediction of outcome after cardiac arrest / Crit Care Med 15 : 820 ~ 825
Cant BR / 1984 / Monitoring by compressed spectral array in prolonged coma / Neurology 34 : 35 ~ 39
Chiappa KH / 1998 / Evaluation and prognostication in coma / Electroencephalogr Clin Neurophysiol 106 : 149 ~ 155
Claassen J / 2004 / Detection of electrographic seizures with continuous EEG monitoring in critically ill patients / Neurology 62 : 1743 ~ 1748
Edgren E / 1987 / Prediction of outcome after cardiac arrest / Crit Care Med 15 : 820 ~ 825
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