患有扩散性脑病变的ICU患者中发作的发生率及其预测因素
Amal M Alkhotani1, Jwana Faisal Al Sulaimi2, Afaf Ali Bana2
1Department of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Medicine
|July 19, 2024
概括
电图发作发生在7%的患有扩散性脑病变的患者中. 女性性别,先前的,三角形背景和周期性放出预测了这些患者的发作的发展.
科学领域:
- 神经学 神经学
- 神经生理学 神经生理学
背景情况:
- 脑病,由系统性疾病引起的扩散性大脑功能障碍,使患者面临发作的风险.
- 在患有脑病变的患者中,电图发作是一个重大问题.
研究的目的:
- 为了确定患有脑病变的患者中电图发作的患病率.
- 为了确定发作发展的临床和脑电图 (EEG) 预测因素.
主要方法:
- 从2019年至2022年对连续EEG的回顾性审查.
- 纳入标准:连续EEG诊断为扩散脑病变.
- 分析了128名患有扩散性脑病变的患者.
主要成果:
- 发作发生在7%的患者中 (9/128),其中66.6%是非发作.
- 发作预测因素包括女性性别 (14.3%与男性的0%相比,P=.002),史 (12%与5.8%,P=.049),三角形背景 (25%与2.3%,P=.048) 和周期性出院 (90%与0%,P=.001).
结论:
- 在7%的患有扩散性脑病变的患者中,存在电图发作.
- 女性的性别,先前的史,三角背景EEG和定期放电是这群人中发作的重要预测因素.
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