Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SCHWARZ, G; LITSCHER, G; JOBSTMANN, R; PFURTSCHELLER, G; MATZER, C.
ASSESSMENT OF CEREBRAL PROGNOSIS BY MEANS OF NEUROPHYSIOLOGICAL MONITORING
ANASTHESIOL INTENSIVMEDIZIN. 1994; 35(12): 376-380.
Web of Science
- Co-Autor*innen der Med Uni Graz
- Litscher Gerhard
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- Abstract:
- The prognosis of cerebral functional disorders provides a measure of the severity of brain damage on the basis of the expected outcome. A prognosis based on a clinical score is dependent upon ideal conditions, and is often considerably restricted in particular in the acute phase. With the aid of electrophysiological parameters of the brain in the form of evoked potentials, a largely representative prediction can be made even under the concrete conditions of intensive therapeutic measures. The results. of investigations done in 33 comatose patients (Glasgow Coma Score, GCS<8) revealed, 3.4 +/- 2.0 days following the onset of the disease, a prognostic accuracy of 90.3% for early somatosensory evoked potentials (SSEP) as compared with only 62.5% achieved by the clinical score (GCS). Attention is drawn both to the special significance of SSEP and the need for a differentiated interpretation. The possibilities and limitations of other electrical parameters of the brain (e.g. auditory evoked potentials, late somatosensory responses) for the prognosis of coma are discussed.
- Find related publications in this database (Keywords)
- BRAIN DISEASES
- MONITORING
- PHYSIOLOGICAL
- PROGNOSIS
- EVOKED POTENTIALS
- ELECTROENCEPHALOGRAPHY