Prognostic Value of Electroencephalography (EEG) for Brain Injury After Cardiopulmonary Resuscitation

Overview

Journal Neurol Sci

Specialty Neurology

Date 2016 Jan 20

PMID 26781942

Citations 7

Authors

Guibo Feng

Guohui Jiang

Zhiwei Li

Xuefeng Wang

Affiliations

Soon will be listed here.

Abstract

Cardiac arrest (CA) patients can experience neurological sequelae or even death after successful cardiopulmonary resuscitation (CPR) due to cerebral hypoxia- and ischemia-reperfusion-mediated brain injury. Thus, it is important to perform early prognostic evaluations in CA patients. Electroencephalography (EEG) is an important tool for determining the prognosis of hypoxic-ischemic encephalopathy due to its real-time measurement of brain function. Based on EEG, burst suppression, a burst suppression ratio >0.239, periodic discharges, status epilepticus, stimulus-induced rhythmic, periodic or ictal discharges, non-reactive EEG, and the BIS value based on quantitative EEG may be associated with the prognosis of CA after successful CPR. As measures of neural network integrity, the values of small-world characteristics of the neural network derived from EEG patterns have potential applications.

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References

Sporns O . Small-world connectivity, motif composition, and complexity of fractal neuronal connections. Biosystems. 2006; 85(1):55-64. DOI: 10.1016/j.biosystems.2006.02.008. View

Leary M, Fried D, Gaieski D, Merchant R, Fuchs B, Kolansky D . Neurologic prognostication and bispectral index monitoring after resuscitation from cardiac arrest. Resuscitation. 2010; 81(9):1133-7. DOI: 10.1016/j.resuscitation.2010.04.021. View

Borges M, Botos H, Bastos R, Godoy M, Marchi N . Emergency EEG: study of survival. Arq Neuropsiquiatr. 2010; 68(2):174-8. DOI: 10.1590/s0004-282x2010000200004. View

Myles P, Daly D, Silvers A, Cairo S . Prediction of neurological outcome using bispectral index monitoring in patients with severe ischemic-hypoxic brain injury undergoing emergency surgery. Anesthesiology. 2009; 110(5):1106-15. DOI: 10.1097/ALN.0b013e31819daef6. View

Tjepkema-Cloostermans M, Van Meulen F, Meinsma G, van Putten M . A Cerebral Recovery Index (CRI) for early prognosis in patients after cardiac arrest. Crit Care. 2013; 17(5):R252. PMC: 4056571. DOI: 10.1186/cc13078. View

Stammet P, Werer C, Mertens L, Lorang C, Hemmer M . Bispectral index (BIS) helps predicting bad neurological outcome in comatose survivors after cardiac arrest and induced therapeutic hypothermia. Resuscitation. 2009; 80(4):437-42. DOI: 10.1016/j.resuscitation.2009.01.008. View

Pawlik M, Seyfried T, Riegger C, Klingler W, Selig C . Bispectral index monitoring during cardiopulmonary resuscitation repeated twice within 8 days in the same patient: a case report. Int J Emerg Med. 2009; 1(3):209-12. PMC: 2657270. DOI: 10.1007/s12245-008-0037-z. View

Beudel M, Tjepkema-Cloostermans M, Boersma J, van Putten M . Small-world characteristics of EEG patterns in post-anoxic encephalopathy. Front Neurol. 2014; 5:97. PMC: 4058708. DOI: 10.3389/fneur.2014.00097. View

Yang Q, Su Y, Hussain M, Chen W, Ye H, Gao D . Poor outcome prediction by burst suppression ratio in adults with post-anoxic coma without hypothermia. Neurol Res. 2014; 36(5):453-60. DOI: 10.1179/1743132814Y.0000000346. View

10.

Cloostermans M, Van Meulen F, Eertman C, Hom H, van Putten M . Continuous electroencephalography monitoring for early prediction of neurological outcome in postanoxic patients after cardiac arrest: a prospective cohort study. Crit Care Med. 2012; 40(10):2867-75. DOI: 10.1097/CCM.0b013e31825b94f0. View

11.

Samaniego E, Mlynash M, Finley Caulfield A, Eyngorn I, Wijman C . Sedation confounds outcome prediction in cardiac arrest survivors treated with hypothermia. Neurocrit Care. 2010; 15(1):113-9. PMC: 3153345. DOI: 10.1007/s12028-010-9412-8. View

12.

Sandroni C, Cavallaro F, Callaway C, Sanna T, DArrigo S, Kuiper M . Predictors of poor neurological outcome in adult comatose survivors of cardiac arrest: a systematic review and meta-analysis. Part 1: patients not treated with therapeutic hypothermia. Resuscitation. 2013; 84(10):1310-23. DOI: 10.1016/j.resuscitation.2013.05.013. View

13.

Zhang Y, Su Y, Haupt W, Zhao J, Xiao S, Li H . Application of electrophysiologic techniques in poor outcome prediction among patients with severe focal and diffuse ischemic brain injury. J Clin Neurophysiol. 2011; 28(5):497-503. DOI: 10.1097/WNP.0b013e318231c852. View

14.

Sadaka F, Doerr D, Hindia J, Lee K, Logan W . Continuous Electroencephalogram in Comatose Postcardiac Arrest Syndrome Patients Treated With Therapeutic Hypothermia: Outcome Prediction Study. J Intensive Care Med. 2014; 30(5):292-6. DOI: 10.1177/0885066613517214. View

15.

Jann K, Dierks T, Boesch C, Kottlow M, Strik W, Koenig T . BOLD correlates of EEG alpha phase-locking and the fMRI default mode network. Neuroimage. 2009; 45(3):903-16. DOI: 10.1016/j.neuroimage.2009.01.001. View

16.

Juan E, Novy J, Suys T, Oddo M, Rossetti A . Clinical evolution after a non-reactive hypothermic EEG following cardiac arrest. Neurocrit Care. 2014; 22(3):403-8. DOI: 10.1007/s12028-014-0095-4. View

17.

Stiell I, Nichol G, Leroux B, Rea T, Ornato J, Powell J . Early versus later rhythm analysis in patients with out-of-hospital cardiac arrest. N Engl J Med. 2011; 365(9):787-97. PMC: 3181067. DOI: 10.1056/NEJMoa1010076. View

18.

Kawai M, Thapalia U, Verma A . Outcome from therapeutic hypothermia and EEG. J Clin Neurophysiol. 2011; 28(5):483-8. DOI: 10.1097/WNP.0b013e318231bfef. View

19.

Goodman P, Mehta A, Castresana M . Predicting ischemic brain injury after intraoperative cardiac arrest during cardiac surgery using the BIS monitor. J Clin Anesth. 2010; 21(8):609-12. DOI: 10.1016/j.jclinane.2009.01.014. View

20.

Bassett D, Bullmore E . Small-world brain networks. Neuroscientist. 2006; 12(6):512-23. DOI: 10.1177/1073858406293182. View