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. 2015 Oct 30;16(11):25999–26018. doi: 10.3390/ijms161125938

Table 2.

Electrophysiological markers with pros and cons for use in prognostication.

Category Markers Pro Con
cEEG
  • Isoelectric, low-voltage;

  • Burst and suppression, Epileptiform pattern (not always reliable);

  • Absence of EEG reactivity.

  • Directly provide measurement of neuronal activities;

  • Low financial cost, bedside and non-invasive monitoring;

  • EEG reactivity and continuity have been validated as critical factors in predicting recovery or poor outcome.

  • Confounded by subjective interpretation by neurologists;

  • Affected by external factor, i.e., medications and sedation;

  • Not able to provide detailed information about the degree of injury.

Quantitative EEG (qEEG)
  • Burst suppression, continuous low voltage or flat trace EEG background and seizure pattern; Absence of aEEG continuous normal voltage (CNV) pattern;

  • The lower values obtained from other qEEG measurement are associated with poor outcome.

  • Simpler, objective and accurate prognostication;

  • Do not need neurologists’ interpretation.

  • Most qEEG markers (i.e., CRI and Entropy-base qEEG) lacks clinical data, or larger patient groups (i.e., aEEG) which needs further clinical study and can only regard as a complementary criterion in prognostication;

  • Conflicting results (i.e., BIS) of prognostic ability.

SSEPs
  • Bilateral absence of N20 potentials.

  • Provide direct information about the degree of functional damage of somatosensory pathway;

  • Most accurate marker of poor outcome prognosis;

  • Most robust to sedation.

  • Only limited to studying the presence or absence of N20;

  • The prognostic value of good outcome is inconclusive.

Quantitative SSEPs (qSSEPs)
  • The lower qSSEP values are associated with poor outcome

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  • Do not require experts’ interpretation;

  • Allow researchers to choose the time period of interest;

  • Objectively provide not only prediction of bad outcome but good outcome.

  • qSSEP techniques lack clinical validation.

Other EPs
  • The absence of mismatch negative (MMN) waves in evoked-related auditory evoked potentials (ERPs);

  • The disorder of auditory discrimination capabilities.

  • Provide direct information about the degree of functional damage of different neurologic pathway.

  • Their prognostic abilities have not been validated on TH-treated patients.