Abstract:
INTRODUCTION:We describe a series of 10 children with intracranial hypertension complicating fulminant hepatic failure submitted to intracranial pressure (ICP) monitoring for intensive care and transplantation management. PATIENTS AND METHODS:Information from pediatrics patients acute liver failure admitted to our hospital was collected in a standard protocol form. We analyzed data from 10 patients, medium age 5.2 years old. In this period we studied aspects as ICP transducer used, number of days with ICP monitoring and complications of ICP monitoring. RESULTS:Hepatitis A was diagnosed in five patients and hepatitis B in two cases. The initial ICP were 2 to 24 mmHg in transducer. Seven patients died, four due to intracranial hypertension, included the patient operated for subdural hematoma, and three with transplantation failure. Only a case of hematoma was verified. CONCLUSIONS:The application of ICP monitoring allows intensive care for aggressive ICP management. It can be used in children without adaptations.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Paiva WS,de Andrade AF,Amorim RL,Figueiredo EG,Matushita H,Teixeira MJsubject
Has Abstractpub_date
2009-02-01 00:00:00pages
134-6issue
3eissn
0210-0010issn
1576-6578pii
rn2008575journal_volume
48pub_type
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