Measurements of coherence in eeg signal in brazilian people: a comparison of different consciousness states

Resumo

Critically ill patients admitted to intensive care units require special care and the early diagnosis of the possible outcome of this coma is clinically important. Electroencephalographic signals are collected daily in critically ill patients and can be used to aid in the early diagnosis of neurological pathologies in such patients. Therefore, this study aimed to quantitatively describe the coherence values measured by the EEG signal of Brazilian individuals. The first group with comatose patients (N = 75), favorable (to live) or unfavorable (dying) outcomes, and various etiology. The second group was made by neurologically normal people, named the control group (N = 100). In addition, a number of statistical comparisons were made in order to verify the difference in coherence behavior according to the levels of consciousness. The coherence index of the comatose group is smaller than the control group. Besides, different hospitalization results, living or dying, as well as different etiologies, may be associated with particular values of cerebral coherence. It was observed that the etiology of coma does not influence the measured values of coherence in terms of diagnosis due to brain death, which may become a biomarker of this outcome. Another important consideration was that neurologically healthy patients did not present high values of cerebral coherence at all electrodes, as seen in the temporal region of the brain.