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Antiepileptic Drug Management in Acute Ischemic Stroke: Are Vascular Neurologists Utilizing Electroencephalograms? An Observational Cohort Study
المؤلفون المشاركون
Martin-Schild, Sheryl
Rao, Rahul
Monlezun, Dominique J.
Kimbrough, Tara
Burkett, Brian J.
Samai, Alyana
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-12-21
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Introduction.
This study examines the utility of electroencephalography (EEG) in clinical decision making in acute ischemic stroke (AIS) patients in regards to the prescription of antiseizure medications.
Methods.
Patients were grouped as having positive EEG (+) for epileptiform activity or negative EEG (-).
These studies were no more than 30 minutes in length.
Patients’ charts were retrospectively reviewed for antiepileptic drug (AED) use before, during, and on discharge from AIS hospitalization.
Results.
Of the 509 patients meeting inclusion criteria, 24 (4.7%) had a positive EEG.
Patients did not significantly differ with respect to any demographic or baseline characteristics with the exception of prior history of seizure.
In the EEG- group, AEDs were discontinued in only 3.5% of patients.
In the EEG+ group, only 37.5% of patients had an initiation or change to their AED regimen within 36 hours of the study.
62.5% of the EEG+ group had a cortical stroke.
Significance.
Our results indicate that vascular neurologists are not using spot EEGs to routinely guide inpatient AED management.
EEGs may have greater utility in those with a prior history of seizures and cortical strokes.
Longer or continuous EEG monitoring may have better utility in the AIS population if there is clinical suspicion of seizure.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rao, Rahul& Monlezun, Dominique J.& Kimbrough, Tara& Burkett, Brian J.& Samai, Alyana& Martin-Schild, Sheryl. 2020. Antiepileptic Drug Management in Acute Ischemic Stroke: Are Vascular Neurologists Utilizing Electroencephalograms? An Observational Cohort Study. BioMed Research International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1135682
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rao, Rahul…[et al.]. Antiepileptic Drug Management in Acute Ischemic Stroke: Are Vascular Neurologists Utilizing Electroencephalograms? An Observational Cohort Study. BioMed Research International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1135682
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rao, Rahul& Monlezun, Dominique J.& Kimbrough, Tara& Burkett, Brian J.& Samai, Alyana& Martin-Schild, Sheryl. Antiepileptic Drug Management in Acute Ischemic Stroke: Are Vascular Neurologists Utilizing Electroencephalograms? An Observational Cohort Study. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1135682
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1135682
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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