Electroencephalographic features of moyamoya in adults.
Clin Neurophysiol
; 126(3): 481-5, 2015 Mar.
Article
em En
| MEDLINE
| ID: mdl-25065300
ABSTRACT
OBJECTIVE:
Electroencephalography is useful for evaluating transient neurological events in the setting of moyamoya disease.METHODS:
EEG findings of adults with moyamoya seen at a large moyamoya referral center are summarized. Patients were identified by retrospective chart review.RESULTS:
EEGs were ordered after cerebral revascularization for altered mental status, aphasia, limb shaking, or facial twitching. Among the study population of 103 patients having EEGs, 24% of adults with moyamoya had a history of clinical seizures. Ischemic or hemorrhagic strokes were associated with a twofold relative risk of seizures. Overall, 90% of EEGs were abnormal, most commonly focally (78%), or diffusely slow (68%). Epileptiform EEG discharges were seen in 24%. Whereas hemispheres with an ischemic stroke had a 19% risk of epileptiform discharges and an 8% risk of seizures on EEG, hemispheres with hemorrhagic stroke had a 35% risk of epileptiform discharges and 19% risk of seizures on EEG. Focal amplitude attenuation was seen in 19%, breach rhythm in 15%, rhythmic delta in 14%, and electrographic seizures in 12%.CONCLUSIONS:
Seizures and epileptiform EEG changes are common in patients with moyamoya disease.SIGNIFICANCE:
Transient events in patients with moyamoya can result from seizures as well as ischemia.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Afasia
/
Convulsões
/
Encéfalo
/
Isquemia Encefálica
/
Acidente Vascular Cerebral
/
Doença de Moyamoya
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Neurophysiol
Assunto da revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article