The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100008 |
Resumo: | OBJECTIVES: To assess the frequency of electroencephalogram (EEG) requests in the emergency room (ER) and intensive care unit (ICU) for patients with impairment of consciousness (IC) and its impact in the diagnosis and management. METHODS: We followed patients who underwent routine EEG from ER and ICU with IC until discharge or death. RESULTS: During the study, 1679 EEGs were performed, with 149 (8.9%) from ER and ICU. We included 65 patients and 94 EEGs to analyze. Epileptiform activity was present in 42 (44.7%). EEG results changed clinical management in 72.2% of patients. The main reason for EEG requisition was unexplained IC, representing 36.3% of all EEGs analyzed. Eleven (33%) of these had epileptiform activity. CONCLUSION: EEG is underused in the acute setting. The frequency of epileptiform activity was high in patients with unexplained IC. EEG was helpful in confirming or ruling out the suspected initial diagnosis and changing medical management in 72% of patients. |
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Arquivos de neuro-psiquiatria (Online) |
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The impact of EEG in the diagnosis and management of patients with acute impairment of consciousnessemergency EEGimpaired of consciousnessemergency roomintensive care unitOBJECTIVES: To assess the frequency of electroencephalogram (EEG) requests in the emergency room (ER) and intensive care unit (ICU) for patients with impairment of consciousness (IC) and its impact in the diagnosis and management. METHODS: We followed patients who underwent routine EEG from ER and ICU with IC until discharge or death. RESULTS: During the study, 1679 EEGs were performed, with 149 (8.9%) from ER and ICU. We included 65 patients and 94 EEGs to analyze. Epileptiform activity was present in 42 (44.7%). EEG results changed clinical management in 72.2% of patients. The main reason for EEG requisition was unexplained IC, representing 36.3% of all EEGs analyzed. Eleven (33%) of these had epileptiform activity. CONCLUSION: EEG is underused in the acute setting. The frequency of epileptiform activity was high in patients with unexplained IC. EEG was helpful in confirming or ruling out the suspected initial diagnosis and changing medical management in 72% of patients.Academia Brasileira de Neurologia - ABNEURO2012-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100008Arquivos de Neuro-Psiquiatria v.70 n.1 2012reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2012000100008info:eu-repo/semantics/openAccessRicardo,João A. G.França Jr.,Marcondes C.Lima,Fabrício O.Yassuda,Clarissa L.Cendes,Fernandoeng2012-01-05T00:00:00Zoai:scielo:S0004-282X2012000100008Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2012-01-05T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
title |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
spellingShingle |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness Ricardo,João A. G. emergency EEG impaired of consciousness emergency room intensive care unit |
title_short |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
title_full |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
title_fullStr |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
title_full_unstemmed |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
title_sort |
The impact of EEG in the diagnosis and management of patients with acute impairment of consciousness |
author |
Ricardo,João A. G. |
author_facet |
Ricardo,João A. G. França Jr.,Marcondes C. Lima,Fabrício O. Yassuda,Clarissa L. Cendes,Fernando |
author_role |
author |
author2 |
França Jr.,Marcondes C. Lima,Fabrício O. Yassuda,Clarissa L. Cendes,Fernando |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Ricardo,João A. G. França Jr.,Marcondes C. Lima,Fabrício O. Yassuda,Clarissa L. Cendes,Fernando |
dc.subject.por.fl_str_mv |
emergency EEG impaired of consciousness emergency room intensive care unit |
topic |
emergency EEG impaired of consciousness emergency room intensive care unit |
description |
OBJECTIVES: To assess the frequency of electroencephalogram (EEG) requests in the emergency room (ER) and intensive care unit (ICU) for patients with impairment of consciousness (IC) and its impact in the diagnosis and management. METHODS: We followed patients who underwent routine EEG from ER and ICU with IC until discharge or death. RESULTS: During the study, 1679 EEGs were performed, with 149 (8.9%) from ER and ICU. We included 65 patients and 94 EEGs to analyze. Epileptiform activity was present in 42 (44.7%). EEG results changed clinical management in 72.2% of patients. The main reason for EEG requisition was unexplained IC, representing 36.3% of all EEGs analyzed. Eleven (33%) of these had epileptiform activity. CONCLUSION: EEG is underused in the acute setting. The frequency of epileptiform activity was high in patients with unexplained IC. EEG was helpful in confirming or ruling out the suspected initial diagnosis and changing medical management in 72% of patients. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000100008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2012000100008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.70 n.1 2012 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212772826054656 |