Antiepileptic Drug Management in Acute Ischemic Stroke: Are Vascular Neurologists Utilizing Electroencephalograms? An Observational Cohort Study
Joint Authors
Martin-Schild, Sheryl
Rao, Rahul
Monlezun, Dominique J.
Kimbrough, Tara
Burkett, Brian J.
Samai, Alyana
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135682