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Novel features of early burst suppression predict outcome after birth asphyxia. 2014
Kartik K Iyer, and
James A Roberts, and
Marjo Metsäranta, and
Simon Finnigan, and
Michael Breakspear, and
Sampsa Vanhatalo
Systems Neuroscience Group, QIMR Berghofer Medical Research Institute Brisbane, Queensland, Australia ; School of Medicine, Faculty of Medicine and Biomedical Sciences, University of Queensland Queensland, Australia.
Burst suppression patterns in the electroencephalogram are a reliable marker of recent severe brain insult. Here we analyze statistical properties of bursts occurring in 20 electroencephalographic recordings acquired from hypothermic asphyxic newborns in the hours immediately following birth. We show that the distributions of burst area and duration in these acute data predict later clinical outcome in both structural neuroimaging and neurodevelopment. Our findings indicate the first early electroencephalographic metrics that offer outcome prediction in asphyxic neonates undergoing hypothermia treatment.
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