Electroencephalograms (EEGs) of 12 comatose patients showed "alpha-like" rhythms after cardiac arrest. Four patients revealed a stage II sleep pattern and two patients showed signs of reactivity in their EEGs. One patient recovered with minimal impairment of memory, one patient lived for 3 months, and 10 died 3 ot 30 days after cardiac arrest. Examination of the brain demonstrated the usual anoxic lesions in three patients and "respirator brain" in one. In three patients with ventral pontine syndrome, a somewhat similar EEG pattern, but with distinct differences in topography and reactivity, was observed. In order to recognize alpha-like rhythms in comatose patients after cardiac arrest, EEGs should be recorded daily for several days.
A method for spectral analysis of pattern-reversal visual evoked potentials (PRVEP's) is presented that results in spectral peaks of uniform width in the frequency domain for signals with a wide range of time-domain duration. Uniformity of spectral peak width is necessary for accurate comparison of spectra. The desired frequency domain characteristics can be achieved through the application of "tunable" data windows prior to transformation. The Io-sinh (Kaiser), Gaussian, and cosine-taper (Tukey) windows were evaluated as to their ability to produce power spectra with uniform spectral peak width. Objective comparison of power spectra is based on the "spectral parameter," which is a numerical index of power distribution. Application of the method to PRVEP waveforms of normal subjects (N = 20) and to a population of Alzheimer's Disease patients (N = 15) showed the Io-sinh window to be the most effective method, yielding correct classification of all normal and abnormal subjects. The Gaussian window also performed well, with only two misclassifications. Use of the rectangular window resulted in seven misclassifications. The tapered-cosine window was very limited in its applicability, and was about equal in performance to the rectangular window.
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