P3a, P3b Characteristics of OSA Patients in the Acute Stroke Population.

Objective

To investigate the neurophysiological and cognitive impairments in patients with obstructive sleep apnea (OSA) among the acute stroke population.

Methods

A total of 268 acute ischemic stroke patients with OSA underwent sleep monitoring within 24 h of admission and event-related potential tests within three days. They were categorized into groups based on their AHI: stroke only, and stroke with mild, moderate, or severe OSA. This classification served to analyze the electrophysiological profiles associated with stroke and OSA severity.

Results

Compared with the control group, in the P3b series, the P3b-FZ amplitude was significantly reduced in the stroke with mild, moderate, and severe OSA group; the N2-PZ latency was significantly prolonged in the stroke with severe OSA group; and the P3b-FZ, P3b-CZ, and P3b-FZ latencies were significantly prolonged in the stroke with mild, moderate, and severe OSA group; in the P3a series, the N2-CZ amplitude was decreased in the stroke with severe OSA group, P2-FZ latency was significantly prolonged in the stroke with mild and moderate OSA group, P3a-FZ latency was significantly prolonged in the stroke with mild OSA group, P3a-CZ latency was significantly prolonged in the stroke with severe OSA group, and P3a-PZ latency was significantly prolonged in the stroke with mild and severe OSA group.

Conclusions

The electrophysiologic changes compared with the stroke-only group were mainly characterized by prolonged latencies of the endogenous components P3a and P3b, suggesting that they are related to attention allocation and cognitive control.