What EEG finding is likely associated with intracerebral hemorrhage from the middle cerebral artery?

The presence of delta activity that is maximal over the frontotemporal area is closely associated with intracerebral hemorrhage, particularly when it involves the middle cerebral artery. This finding is indicative of significant pathology in the affected hemisphere, where there is likely to be edema or is cerebral tissue that is compromised due to the hemorrhage.

When an intracerebral hemorrhage occurs, it can cause a disruption in normal brain function, leading to changes in the electrical activity recorded by EEG. Delta waves are typically representative of neuronal injury, depression, or dysfunction. When these delta waves are more pronounced in the frontotemporal region, it suggests involvement or damage to the structures in that area, which is consistent with the effects of a hemorrhage impacting the middle cerebral artery territory.

The other findings listed are less specific or not primarily associated with the effects of an intracerebral hemorrhage from this particular artery. Periodic bursts of high-amplitude theta activity, spike and wave complexes, or alpha coma do not directly correlate with the common EEG presentations one would expect from a localized hemorrhage in the brain. Therefore, the observation of delta activity that is maximal over the frontotemporal area is the most relevant EEG finding in this scenario.