首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Aetiology and prognosis of encephalopathic patterns on electroencephalogram in a general hospital.
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Aetiology and prognosis of encephalopathic patterns on electroencephalogram in a general hospital.

机译:综合医院脑电图上脑病模式的病因学和预后。

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摘要

The purpose of this study was to investigate the frequency and clinical outcome of patients with encephalopathic electroencephalograms (EEGs) in a neurophysiology department based in a general hospital. We performed a retrospective review of all EEGs obtained during an 18-month period in a large tertiary referral hospital. The referral reasons for EEG, the diagnoses reached, and patient outcomes were reviewed according to EEG severity. One hundred and twenty-three patients with encephalopathic EEGs were reviewed. The most common referral reason found was for an assessment of a possible first-onset seizure. The most common diagnosis found was one of dementia or learning disability. Of patients who were followed-up for a median of 19 months, 20.7% had died. The mortality rate generally increased according to the severity of the encephalopathy on EEG. However, 21.4% of those patients with excessive theta activity only on EEG had died. This study highlights an increased mortality even in the apparently 'milder' degrees of EEG abnormalities.
机译:这项研究的目的是调查总医院神经生理科的脑病性脑电图(EEGs)患者的频率和临床结局。我们对一家大型三级转诊医院在18个月内获得的所有脑电图进行了回顾性研究。根据脑电图的严重程度,回顾了脑电图的转诊原因,达到的诊断和患者的预后。审查了123例脑病性脑电图患者。发现的最常见转诊原因是对可能的首次发作的评估。发现的最常见诊断是痴呆或学习障碍之一。在接受中位随访19个月的患者中,有20.7%的患者死亡。死亡率通常根据脑电图上脑病的严重程度而增加。然而,仅依靠脑电图进行过θ活动过度的患者中有21.4%死亡。这项研究表明,即使在明显的“较轻”程度的脑电图异常中,死亡率也增加了。

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