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Table 1 Clinical summary of quantitative EEG in subarachnoid hemorrhage

From: Quantitative EEG for the detection of brain ischemia

First author [ref]

N

SAH Grade

Clinical Criteria

Outcome

qEEG Results

Labar [7]

11

HH I: 2

1) Focal neurological deficit

Ischemic events (n = 18)

5 silent infarcts detected by qEEG alone

  

HH III: 8

2) Global cortical dysfunction

 

4 qEEG changes prior to clinical changes

  

HH IV: 1

3) Encephalopathy

  

Vespa [8]

32

Awake

(HH I-III)

1) Angiographic vasospasm

Vasospasm (n = 19)

All vasospasm with qEEG changes.

   

2) TCD vasospasm (> 120 cm/s or Lindegaard ratio > 3)

 

10/19 qEEG changed mean 2.9 days prior to vasospasm confirmation.

Claassen [9]

34

Comatose

(HH IV-V)

DCI

DCI (n = 9)

Raw EEG changed in 78%; qEEG sensitive to a 10% change in 6 post-stimulation minutes or 50% change in only 1 post-stimulation minute.

   

1) Clinical deterioration

  
   

2) New infarct on CT

  

Rathakrishnan [10]

12

mF 3-4

DCI

DCI (n = 8)

qEEG sensitivity with clinical data is 67%.

  

HH I: 1

1) Clinical deterioration

 

3/8 qEEG changed more than 24 hours prior to clinical change.

  

HH II: 5

2) New infarct on CT

  
  

HH III: 2

   
  

HH IV: 3

   
  

HH V: 1

   
  1. DCI, delayed cerebral ischemia; HH, Hunt-Hess Grade; mF, Modified Fisher Grade; qEEG, quantitative EEG; SAH, subarachnoid hemorrhage; TCD, transcranial Doppler ultrasonography.