Quantitative EEG Features Associated with Poor Prognosis in Patients with Hypertensive Intracerebral Hemorrhage
Objective:To investigate the quantitative EEG(qEEG)features associated with poor prog-nosis in patients with hypertensive intracerebral hemorrhage(HICH).Methods:A prospective study was con-ducted,continuously enrolling 69 patients with HICH from the intensive care unit of the Department of Neurol-ogy,Kailuan General Hospital,between January 2017 and June 2023.Based on the modified Rankin score(mRS)at 30 days post-discharge,patients were divided into two groups:the good prognosis group(mRS≤2)and the poor prognosis group(mRS 3-6).General patient data and qEEG monitoring parameters,inclu-ding alpha,theta,delta,and beta wave power values in the left and right frontal(Fp1,Fp2),frontal(F3,F4),central(C3,C4),parietal(P3,P4),occipital(O1,O2),anterior temporal(F7,F8),mid-tempo-ral(T3,T4),and posterior temporal(T5,T6)regions,were collected.Results:The mean age in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).The delta wave power in the Fp2,F4,C4,P4,F7-8,and T4 regions in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).The theta wave power in the Fp1-2,F3,C3,P4,O1,F7,and T3 regions in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).The overall slow wave index power,including delta and theta waves,in the Fp1-2,F3-4,C3-4,P3-4,O1,F7-8,T4,and whole-brain average slow wave index in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).Conclusion:Patients with poor prognosis following hypertensive intracere-bral hemorrhage show significantly increased delta,theta,and whole-brain average slow wave index power values on qEEG.