Time for a cool head-neuroprotection becomes a reality.

Abstract:

:Studies in encephalopathic infants have demonstrated a brief phase of normal cerebral energetics following hypoxia-ischaemia prior to development of delayed energy failure. In experimental models, mild hypothermia has shown a consistent neuroprotective action, although its efficacy is critically dependent on the severity of the primary insult, the delay in initiating cooling, and the duration and depth of hypothermia. Early electroencephalographic assessment of encephalopathic infants has the potential to provide objective information about the preceding insult, aiding the selection of infants for enrollment to clinical trials. Preliminary results from a large randomised trial of selective head cooling suggest that early intervention can lead to significantly improved outcome in a subgroup of encephalopathic infants with intermediate electroencephalographic abnormalities. Further research in established experimental models is essential to improve the identification of suitable infants for treatment, to investigate the importance of variations in regional brain temperature, and to examine the therapeutic potential of hypothermia combined with other neuroprotective agents.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Wyatt JS,Robertson NJ

doi

10.1016/j.earlhumdev.2004.10.014

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

5-11

issue

1

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(04)00186-0

journal_volume

81

pub_type

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