Hipoksik-İskemik Beyin Hasarında Kötü Prognozun Elektroenseflaogram ve Nöro-görüntüleme Belirteçleri

Amaç:Hipoksik-iskemik beyin hasarı komaya neden olabilir. Çeşitli faktörler bu hasar sonrası prognozu etkilemekte olup; prognozu tahmin etmek klinisyeni zorlayan bir süreçtir. Manyetik Rezonans Görüntüleme (MRG) ve Elektroensefalogram (EEG), beyin hasarı sonrasında olası prognozu tahmin etmede kullanılan iki güvenilir yöntemdir. Çalışmamızda MRG ve EEG yöntemlerinde spesifik lezyon ve elektrofizyolojik paternleri araştırarak prognoz tahminlerini test etmeyi amaçladık. Yöntem: Ocak 2017 ile Mart 2020 tarihleri arasında hipoksik beyin hasarı sebebi ile yoğun bakım ünitesinde (YBÜ) izlenmiş olan hastalar retrospektif olarak taranmıştır. 18 yaş üzeri, kardiak arrest veya solunumsal problemler sebebi ile hipoksik iskemik beyin hasarı gelişen hastalar çalışmaya dahil edilmiştir. Glasgow Koma Skalası (GKS) bilinç durumu için kullanılmış olup, çalışmaya dahil edilen tüm hastalarda GKS

Electroencephalogram and Neuroimaging Markers of Poor Prognosis in Hypoxic-Ischemic Brain Injury

Purpose: Hypoxic-ischemic brain injury (HIBI) can cause coma.Several factors may affect the outcome after HIBI and prediction of the prognosis is challenging in clinical practice.Magnetic Resonance Imaging (MRI) and Electroencephalography (EEG) are two reliable tools to predict the possible outcome after brain damage.We aimed to test the utility of MRI and EEG in predicting the outcome by exploring specific lesion and electrophysiological patterns. Method: Patients admitted to the intensive care unit (ICU) due to hypoxic-ischemic brain injury between January 2017 and March 2020 were retrospectively reviewed.Patients over 18 years of age with a history of cardiac arrest or respiratory problems leading to hypoxic-ischemic brain injury were included in the study. Glasgow Coma Score (GCS) was used as a clinical measure for the level of consciousness.All patients had a Glasgow Coma Score (GCS) of

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