Quantitative EEG and neurological recovery with therapeutic hypothermia after asphyxial cardiac arrest in rats

Xiaofeng Jia, Matthew A. Koenig, Hyun Chool Shin, Gehua Zhen, Soichiro Yamashita, Nitish V. Thakor, Romergryko G. Geocadin

Research output: Contribution to journalArticlepeer-review

Abstract

We test the hypothesis that quantitative electroencephalogram (qEEG) can be used to objectively assess functional electrophysiological recovery of brain after hypothermia in an asphyxial cardiac arrest rodent model. Twenty-eight rats were randomly subjected to 7-min (n = 14) and 9-min (n = 14) asphyxia times. One half of each group (n = 7) was randomly subjected to hypothermia (T = 33 °C for 12 h) and the other half (n = 7) to normothermia (T = 37 °C). Continuous physiologic monitoring of blood pressure, EEG, and core body temperature monitoring and intermittent arterial blood gas (ABG) analysis was undertaken. Neurological recovery after resuscitation was monitored using serial Neurological Deficit Score (NDS) calculation and qEEG analysis. Information Quantity (IQ), a previously validated measure of relative EEG entropy, was employed to monitor electrical recovery. The experiment demonstrated greater recovery of IQ in rats treated with hypothermia compared to normothermic controls in both injury groups (P < 0.05). The 72-h NDS of the hypothermia group was also significantly improved compared to the normothermia group (P < 0.05). IQ values measured at 4 h had a strong correlation with the primary neurological outcome measure, 72-h NDS score (Pearson correlation 0.746, 2-tailed significance <0.001). IQ is sensitive to the acceleration of neurological recovery as measured NDS after asphyxial cardiac arrest known to occur with induced hypothermia. These results demonstrate the potential utility of qEEG-IQ to track the response to neuroprotective hypothermia during the early phase of recovery from cardiac arrest.

Original languageEnglish (US)
Pages (from-to)166-175
Number of pages10
JournalBrain research
Volume1111
Issue number1
DOIs
StatePublished - Sep 21 2006

Keywords

  • Cardiac arrest
  • Entropy
  • Hypothermia
  • Neurologic outcome
  • Quantitative EEG
  • Resuscitation

ASJC Scopus subject areas

  • Neuroscience(all)
  • Molecular Biology
  • Clinical Neurology
  • Developmental Biology

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