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：25

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

[11]

Streletz L.J., Bej M.D., Graziani L.J., Et al., Utility of serial EEG’s in neonates during extracorporeal membrane oxygenation, Pediatr Neurol, 8, pp. 190-196, (1992)

[12]

Hahn J.S., Vaucher Y., Bejar R., Coen R.W., Electroencephalographic and neuroimaging findings in neonates undergoing extracorporeal membrane oxygenation, Neuropediatrics, 24, pp. 19-24, (1993)

[13]

Korinthenberg R., Kachel W., Koelfen W., Et al., Neurologic findings in newborn infants after extracorporeal membrane oxygenation, with special reference to the EEG, Dev Med Child Neurol, 35, pp. 249-257, (1993)

[14]

Graziani L.J., Streletz L.J., Baumgart S., Et al., Predictive value of neonatal electroencephalograms before and during extracorporeal membrane oxygenation, J Pediatr, 125, pp. 969-975, (1994)

[15]

Lombroso C.T., Holmes G.L., Value of the EEG in neonatal seizures, J Epilepsy, 6, pp. 39-70, (1993)

[16]

Holmes G., Rowe J., Hafford J., Et al., Prognostic value of the electroencephalogram in neonatal asphyxia, Electroencephalogr Clin Neurophysiol, 53, pp. 60-72, (1982)

[17]

Hrachovy R.A., Mizrahi E.M., Kellaway P., Electroencephalography of the newborn, Current Practice of Clinical Electroencephalography, (1990)

[18]

Papile L.A., Burnstein J., Burnstein R., Et al., Incidence and evolution of subependymal and intraventricular hemorrhage: A study of infants with birth weights less than 1500 grams, J Pediatr, 92, pp. 529-534, (1978)

[19]

Tharp B.R., Laboyrie P.M., The incidence of EEG abnormalities and outcome of infants paralyzed with neuromuscular blocking agents, Crit Care Med, 11, pp. 926-929, (1983)

[20]

Graziani L.J., Baumgart S., Desai S., Stanley C., Gringlas M., Spitzer A.R., Clinical antecedents of neurologic and audiologic abnormalities in survivors of neonatal ECMO, J Child Neurol, 12, pp. 415-422, (1997)

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