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RecruitingNCT06984965Updated Nov 5, 2026

Role of EEG in Differentiation Between Ischemic and Hemorrhagic Stroke

An observational study in Acute Ischemic Stroke and Acute Haemorrhagic Stroke, sponsored by Assiut University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Assiut University · Observational

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Updated Nov 5, 2026Start date movedPrimary completion moved+3 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Searching electrical activity registered by EEG in acute ischemic and hemorrhagic stroke and comparing these parameters to the post-stroke recovery patterns to investigate the role of EEG as a differentiation tool and as a predictor of post-stroke recovery.

Read the detailed description

In this study, EEG will be performed on each patient included; within 72 hours of the onset of the stroke. The EEG device will be used within the intended use as described in the user manuals. The electrodes are put on the patient's head, and the EEG signal is recorded for several minutes; the amplifier is used to amplify the EEG signal and reduce artifacts. A complete EEG and data will be collected at baseline and on follow-up to observe the differences in EEG patterns to perform a qualitative assessment of the EEG results.

EEG patterns depend on the size and location of acute ischemic stroke, including generalized or focal slowing or both and epileptiform discharges. Abnormal neuronal activity is determined by comparing a part of the patient's brain not affected by stroke to a part of the patient's brain affected by stroke. Moreover, Abnormal blood flow is interpreted by comparing the abnormal EEG patterns in the areas of infarctions or hemorrhage to the normal brain tissue signals. The aim is to compare electric waveforms from an EEG device between patients with acute ischemic and acute hemorrhagic stroke (at baseline which is within 72 hours of the onset of acute ischemic and acute hemorrhagic stroke and through study completion, an average of 3 to 6 months).

02

Conditions studied

  • Acute Ischemic Stroke
  • Acute Haemorrhagic Stroke

Browse trials for

Keywords

  • EEG
  • Acute Ischaemic Stroke
  • Acute Haemorrhagic Stroke
  • Stroke Recovery
03

In context

Ischemic Stroke

2,612 studies on the registry are indexed under Ischemic Stroke; 971 are open to participants now.

This study's planned enrollment of 300 is close to the median of 300 across 771 observational studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Assiut University is the lead sponsor of 5,078 studies on the registry; 2,178 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with acute Ischemic stroke: ischemic arteria cerebri media infarct confirmed by MRI, or acute Hemorrhagic stroke: spontaneous intraparenchymal bleeding confirmed by CT, onset \<72 hours before expected time of performing EEG.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age above 18 and below 80 years.
  • Acute Ischemic stroke: ischemic arteria cerebri media infarct confirmed by MRI.
  • Acute Hemorrhagic stroke: spontaneous intraparenchymal bleeding confirmed by CT.
  • Stroke onset \<72 hours before expected time of performing EEG.
  • First-ever ischemic stroke.
  • Measurable deficit on the National Institute of Health Stroke Scale (NIHSS).
  • Able to give and sign .

Exclusion criteria

Exclusion Criteria:

  • (TIAs).
  • Greater than 72 hours past the initial insult.
  • Patients with subarachnoid haemorrhage, traumatic haemorrhage (epidural/subdural bleeding), cerebral venous sinus thrombosis, indication for urgent neurosurgical intervention.
  • History of other central nervous system diseases.
  • Any signs unfit for MRI/EEG scan.
  • Injury or active infection of electrode cap placement area.
  • Claustrophobia; recognition disorder.
  • Known skull defect or head trauma.
  • Previous neurological procedure (metallic implant, brain pace, cranial operation history).
  • Significant physical impairment that would restrict the ability to use the portable EEG devices.
  • Presence of or systemic rheumatic disease
  • Non-stroke disease or lesion affecting the sensorimotor system.
  • Alcohol or drug addiction.
  • Presence of pump/shunt.
  • Presence of Malignancy.
  • Presence of severe cognitive impairment.
  • History of epilepsy or taking medication due to epilepsy.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Ischaemic Stroke Group

    Patients with ischemic arteria cerebri media infarct confirmed by MRI.

  • Haemorrhagic Stroke Group

    Patients with spontaneous intraparenchymal bleeding confirmed by CT.

06

What researchers measure

Primary outcomes

  1. Proportion of Participants With Focal Slowing in the Stroke-Affected Hemisphere

    Presence of focal slowing (e.g., increased delta or theta activity) in the stroke-affected hemisphere versus the unaffected hemisphere. Patterns categorized as "ischemic" or "hemorrhagic."; this will be measured in percentage (%).

    Time frame: Baseline (within 72 hours of stroke onset)

  2. Proportion of Participants With Interhemispheric Asymmetry in EEG Waveforms

    Qualitative assessment of EEG asymmetry between affected and unaffected hemispheres at baseline. Frequency of each will be measured in percentage (%).

    Time frame: Baseline (within 72 hours of stroke onset)

  3. Proportion of Participants With Absent or Diminished EEG Reactivity

    Absence or reduction in EEG reactivity to external stimuli (e.g., auditory, tactile) in the affected hemisphere; this will be measures by precentage (%).

    Time frame: Baseline (within 72 hours of stroke onset)

  4. Proportion of Participants With Epileptiform Activity on EEG

    Presence of epileptiform discharges (e.g., spikes or sharp waves) on EEG in the stroke-affected hemisphere; thsi will be measured by precentage (%).

    Time frame: Baseline (within 72 hours of stroke onset)

Secondary outcomes

  1. Correlation Between Baseline EEG Findings and Functional Recovery

    Association between initial qualitative EEG abnormalities (e.g., focal slowing, asymmetry) and functional outcomes measured by standardized scales (e.g., Modified Rankin Scale) at 6 months; measured by Correlation coefficient (r).

    Time frame: Phase I (Baseline EEG assessment) and Phase III (3 to 6 month follow-up functional evaluation)

  2. Prediction of Post-Stroke Seizures Based on EEG Findings

    Proportion of participants with specific EEG abnormalities (e.g., epileptiform activity) at baseline who develop post-stroke seizures within 3 to 6 months, measured by percentage (%).

    Time frame: Phase I (Baseline EEG assessment) and Phase III (3 to 6 month follow-up functional evaluation)

07

Study locations

1 of 1 sites recruiting
  • Neurology Department, Faculty of Medicine, Assiut University
    Asyut, Asyut Governorate 71511, Egypt
    Recruiting
    • Gena ELassall · Contact01028914897
    • Gena ELassall · Contact
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added, 1 site removed
Show site
  • Neurology Department, Faculty of Medicine, Assiut University · Asyut, Egypt
Show 1 removed
  • Neurology Department, Faculty of Medicine, Assiut University · Asyut, Egypt
Nov 5, 2026
Start date
Jun 2025→Dec 1, 2025 (actual)
Nov 5, 2026
Primary completion
Jan 2026→Mar 2027
Nov 5, 2026
Study completion
Jun 2026→Mar 2027
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    1 site added, 1 site removed
    Show site
    • Neurology Department, Faculty of Medicine, Assiut University · Asyut, Egypt
    Show 1 removed
    • Neurology Department, Faculty of Medicine, Assiut University · Asyut, Egypt
    Start date Jun 2025→Dec 1, 2025 (now actual)
    Primary completion Jan 2026→Mar 2027
    Study completion Jun 2026→Mar 2027
    + 5 other changes: index terms, identifiers, verification date, oversight details and description

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06984965
Lead sponsor
Assiut University
Responsible party
Gena ELassall (Residant at Neurology Department, Faculty of Medicine, Assiut University, Assiut University) — Principal investigator
First posted
May 22, 2025
Start date
Dec 1, 2025
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Nov 5, 2026

Study contacts

Gena ELassall, Bachelor of medicine and gener
Contact
genaelassall312@gmail.com
+201028914897

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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