CLINICAL-NEUROPHYSIOLOGICAL FEATURES IN PATIENTS WITH REPEATED CEREBRAL ISCHEMIC HEMISPHERIC STROKE IN ACUTE PHASE OF DISEASE
DOI:
https://doi.org/10.21802/2304-7437-2019-5(57)-22-28Keywords:
stroke, cognitive deficits, neurological disorders, EEG pattern.Abstract
Summary. In order to study the clinical and neurophysiological features in patients with recurrent cerebral ischemic hemispheric ischemic stroke (RCHIS), a comprehensive clinical-paraclinical study of 49 patients (28 men and 21 female, mean age 72 (63; 76) years) in the acute period of the disease was conducted. It was found domination of mild and moderate dementia, the median total NIHSS score in the debut of the disease consisted 10 (7; 13), which corresponded to the average severity of the stroke. It was found that the parameters of δ-rhythm APS, δ-rhythm RSP and β rhythm relative spectral power have the strongest correlation with level of neurological deficit by NIHSS score and with level of disability by MRS, as well as parameters of occipital-frontal grade of βhi-rythm and hemispheric asymmetry of αlo-subband correlated with the level of cognitive deficit.
References
Віничук C.М., Фартушна О.Є. Епідеміологія транзиторних ішемічних атак у структурі гострих порушень мозкового кровообігу в Україні та інших країнах // Міжнародний неврологічний журнал. – 2017. – №5. – С. 105–111.
Вторичная профилактика цереброваскулярных заболеваний /М.М. Танашян, М.Ю. Максимова, М.А. Домашенко и др. //Академия инсульта. – 2015. – № 3. – С. 78–132.
Гафуров Б.Г., Рахманова Ш.П. Некоторые клинико-патогенетические характеристики первого и повторного мозговых инсультов.// Международный неврологический журнал. – 2011. – №1. – С. 59–62.
Chin Y.Y., Sakinah Н., Aryati А., Hassan B.M. Prevalence, risk factors and secondary prevention of Stroke recurrence in eight countries from south, east and southeast asia: a scoping review//Med J Malaysia. 2018, 73:90-99.
Monge-Pereira E., Molina-Rueda F., Rivas-Montero F.M., Ibáñez J., Serrano J.I., Alguacil-Diego I.M., & Miangolarra-Page J.C. Electroencepha-lography as a post-stroke assessment method: An updated review. Neurología (English Edition). 2017, 32(1):40–49.
Cyrous A., O'Neal Brandon, David Freeman W. New Approaches to Bedside Monitoring in Stroke. Exp. Rev. Neurother. 2012, 12 (8):915–928.
Emma Schleiger, Nabeel Sheikh, Tennille Rowland, Andrew Wong, Stephen Read, Simon Finnigan. Frontal EEG delta/alpha ratio and screening for post-stroke cognitive deficits: The power of four electrodes International Journal of Psychophysiology. 2014, 94: 19–24.
Gawel M., Zalewska E., Szmidt-Salkowska E., Kowalski J. Does EEG (visual and quantitative) reflect mental impairment in subcortical vascular dementia? J Neurol Sci 2007;257:11–16.
Leon-Carrion J., Martin-Rodriguez J.F., Damas-Lopez J. Delta-alpha ratio correlates with level of recovery after neurorehabilitation in patients with acquired brain injury. Clin. Neurophysiol. 2009, 120:1039–1045.
Rishi V.A. Sheorajpanday, Peter Mariën, Guy Nagels, Arie J.T.M. Weeren, Jos Saerens, Michel J.A.M. van Putten, and Peter P. De Deyn. Subcortical Vascular Cognitive Impairment, No Dementia: EEG Global Power Independently Predicts Vascular Impairment and Brain Symmetry Index Reflects Severity of Cognitive Decline. J Clin Neurophysiol.2014;31: 422–428.
