When combined, early bedside head ultrasound and electroencephalography predict abnormal computerized tomography or magnetic resonance brain images obtained after extracorporeal membrane oxygenation treatment

被引：24

作者：

Gannon C.M. ^{[1
]}

Kornhauser M.S. ^{[1
]}

Gross G.W. ^{[1
]}

Wiswell T.E. ^{[1
]}

Baumgart S. ^{[1
]}

Streletz L.J. ^{[1
]}

Graziani L.J. ^{[1
]}

Spitzer A.R. ^{[1
]}

机构：

[1] Departments of Pediatrics, Radiology, and Neurology, Thomas Jefferson University Hospital, Philadelphia, PA

来源：

Journal of Perinatology | 2001年 / 21卷 / 7期

基金：

美国国家卫生研究院;

关键词：

D O I：

10.1038/sj.jp.7210593

中图分类号：

学科分类号：

摘要：

Definitive neuroimaging of the brain using computerized tomography (CT) or magnetic resonance imaging (MRI) in extracorporeal membrane oxygenation (ECMO) - treated infants must be delayed until after this therapy is completed. Bedside head ultrasound (HUS) and electro-encephalography (EEG) studies during ECMO, if highly correlated with later definitive neuroimaging, might be used to affect the acute clinical care and early parental counseling of infants with severe cardiorespiratory failure. One hundred and sixty ECMO-treated patients had both bedside EEG and HUS studies performed during ECMO, as well as a later CT or MRI study prior to hospital discharge. There was a significant difference in CT or MRI findings among patients having normal studies on both the HUS and EEG, compared to those having an abnormality on either the HUS or the EEG, and compared to those having abnormalities on both studies. In ECMO-treated infants, the combination of a normal bedside HUS and an EEG without marked abnormalities is highly predictive of normal post-ECMO CT and MRI neuroimaging studies.

引用

页码：451 / 455

页数：4

共 28 条

[1]

Schumacher R.E., Risks of neonatal ECMO, (1993)

[2]

Gleason C.A., ECMO and the brain, (1993)

[3]

Volpe J.J., Intracranial hemorrhage, Neurology of the Newborn, (1995)

[4]

Glass P., Miller M., Short B., Morbidity for survivors of extracorporeal membrane oxygenation: Neurodevelopmental outcome, Pediatrics, 83, pp. 72-78, (1989)

[5]

Taylor G.A., Glass P., Fitz C.R., Et al., Neurologic status in infants treated with extracorporeal membrane oxygenation: Correlation of imaging findings with developmental outcome, Radiology, 165, pp. 679-682, (1987)

[6]

Revenis M.E., Glass P., Short B.L., Mortality and morbidity rates among lower birth weight infants (2000 to 2500 grams) treated with extracorporeal membrane oxygenation, J Pediatr, 121, pp. 452-458, (1992)

[7]

Lago P., Rebsamen S., Clancy R.R., Et al., MRI, MRA, and neurodevelopmental outcome following neonatal ECMO, Pediatr Neurol, 12, pp. 294-304, (1995)

[8]

Vaucher Y.E., Dudell G.G., Bejar R., Et al., Predictors of early childhood outcome in candidates for extracorporeal membrane oxygenation, J Pediatr, 128, pp. 109-117, (1996)

[9]

Taylor G.A., Fitz C.R., Miller M.K., Et al., Intracranial abnormalities in infants treated with extracorporeal membrane oxygenation: Imaging with US and CT, Radiology, 165, pp. 675-678, (1987)

[10]

Campbell L.R., Bunyapen C., Gangarosa M.E., Et al., Significance of seizures associated with extracorporeal membrane oxygenation, J Pediatr, 119, pp. 789-792, (1991)

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