Scientific Online Resource System

Scripta Scientifica Medica

CLINICAL AND NEUROPHYSIOLOGICAL CORRELATION IN PATIENTS WITH ISCHAEMIC CEREBROVASCULAR DISEASE

D. Minchev, S. Tsekov, F. Kirov, A. Klisarova, S. Kovachev

Abstract

The aim of this study is to objectify the functional state of the brain in Ctnegative cases with clinical diagnosis of acute cerebrovascular disease (CVD). The CT scan, cerebral SPECT, brainstem auditory evoked potential (BAEP) and EEG with quantitative analysis (qEEG) were performed in 20 patients with ischaemic CVD. Of them, 6 were with transitory ischaemic attack (TIA), 8 with ischaemic stroke (IS) in the territory of the middle cerebral artery and 6 with brainstem infarction (BI). The zones with increased slow-wave activity described by the brain maps showed a good correlation (r=0,47) with the revealed decreased radiotracer uptake. The investigation of brain perfusion by SPECT alone cannot objectify the brainstem stroke. In these cases, the data from BAEP can help the topical diagnosis. Our results confirm the clinical importance of the qEEG for diagnosis of acute CVD, especially in relation with other electrophysiological and neuroimaging methods.


Keywords

Ischaemic cerebrovascular disease; CT; SPECT; qEEG, BAEP

Full Text


References

Advances in Diagnosis and Treatment of Stroke. Technology Report of Biomedical Business International. Med. Imaging Internat., 10, 1994, 4-6.

Donnan, A. G . Lancet, 339, 1992, 473-477.

Faught, Е. Stroke, 24, 1993, No 4, 609-613.

Ingvar, D., B. Slolund, A. Ardo. EEG Clin. Neurophysiol., 41, 1976, 268-276.

Kovala, Т., U. Tolonen, J. Pуhtiеn. EEG Clin. Neurophusiol., 71, 1991, 81-92.

Nuwer, M. R., Е. Sheldon, A. S. Sammuel. Neurology, 37, 1987, No 7, 1153-1159.

Sainio, K.,D. Sternberg, I. Keskimaki, A. Muuronen, M. Кastе. EEG Clin. Neurophysiol., 56, 1983, 117-124.




DOI: http://dx.doi.org/10.14748/ssm.v29i0.2970
Array
Article Tools
Email this article (Login required)
About The Authors

D. Minchev

S. Tsekov

F. Kirov

A. Klisarova

S. Kovachev

Font Size


|