EEG changes during open heart surgery on infants aged 6 months or less: relationship to early neurologic morbidity.

Abstract:

:In a prospective study, we analyzed the intraoperative electroencephalographic (EEG) changes during open heart surgery with deep hypothermia in 66 infants aged 6 months or younger, 70% of whom were neonates. Suppression of amplitude and continuity at the nadir of temperature reduction and following rewarming, and the appearance of periodic paroxysmal activity, was compared with neurologic abnormalities before and following operation, patient characteristics, and operation variables. EEG changes disclosed no relationship to abnormal neurologic findings, age at operation, type of anesthetic, duration of cardiopulmonary bypass (CPB), duration of low-flow CPB or cooling, temperature at circulatory arrest (HCA) or low flow, or nasopharyngeal-venous return temperature differences. EEG suppression following rewarming was associated with the use of thiopentone and duration of HCA. Use of thiopentone was also related to decreased levels of alertness at the end of the first postoperative week. We could not demonstrate any association between operation variables, including duration of HCA, and postoperative neurologic findings which include abnormalities of tone, alertness, seizures, generalized pyramidal signs, choreoathetosis, and hemiparesis. Severe hypotonia before operation was associated with continuing severe hypotonia during the postoperative period. EEG changes during cooling for open heart surgery on infants appear to be physiologic, and these plus EEG suppression following HCA or low-flow CPB are not useful predictors of early neurologic morbidity.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Miller G,Rodichok LD,Baylen BG,Myers JL

doi

10.1016/0887-8994(94)90044-2

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

124-30

issue

2

eissn

0887-8994

issn

1873-5150

pii

0887-8994(94)90044-2

journal_volume

10

pub_type

杂志文章
  • Clinical features of developmental disability associated with cerebellar hypoplasia.

    abstract::Sporadic nonsyndromic cerebellar hypoplasia is a radiological diagnosis with clinical features and a relation with developmental disability that are presently not known. Through a retrospective review of a comprehensive standardized computerized database containing more than 2,500 patients examined consecutively by a ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(96)00220-2

    authors: Shevell MI,Majnemer A

    更新日期:1996-10-01 00:00:00

  • Effect of treatment of obstructive sleep apnea on seizure outcomes in children with epilepsy.

    abstract::A retrospective review of children with epilepsy and obstructive sleep apnea, treated surgically for their obstructive sleep apnea from January 2008-October 2010, was performed for age, sex, type of epilepsy, antiseizure medications, sleep-study data, and changes in seizure frequency. Twenty-seven subjects (median age...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2012.03.005

    authors: Segal E,Vendrame M,Gregas M,Loddenkemper T,Kothare SV

    更新日期:2012-06-01 00:00:00

  • Acute unilateral ophthalmoplegia as the presenting sign of acute myeloid leukemia in a 15-month-old girl.

    abstract::Central nervous system manifestations of acute myeloid leukemia are rare at presentation. Acute cranial nerve findings on neurologic examination can be indications for brain imaging. Magnetic resonance imaging can highlight cranial nerves emerging from the brainstem, particularly if they are gadolinium-enhanced or thi...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2012.08.007

    authors: Mott J,Carlson MD

    更新日期:2012-11-01 00:00:00

  • Reduction of elevated CSF beta-endorphin by fenfluramine in infantile autism.

    abstract::Fenfluramine therapy has been reported to improve behavior in infantile autism and has been associated with a decrease in abnormally increased blood serotonin content. The primary central effect has not been proved to be serotonergic. Beta-endorphin is involved in the anorexic effect of fenfluramine and may play a rol...

    journal_title:Pediatric neurology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0887-8994(87)90032-4

    authors: Ross DL,Klykylo WM,Hitzemann R

    更新日期:1987-03-01 00:00:00

  • Neonatal posthemorrhagic hydrocephalus: neuropathologic and immunohistochemical studies.

    abstract::A neuropathologic study was undertaken to examine associated brain damage in patients with fetal and neonatal posthemorrhagic hydrocephalus (PHH). In PHH the association of periventricular leukomalacia and pontosubicular necrosis was not increased, but that of cerebellar subarachnoid hemorrhage and olivo-cerebellar pa...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(95)00183-g

    authors: Fukumizu M,Takashima S,Becker LE

    更新日期:1995-10-01 00:00:00

  • Early-onset ataxia with oculomotor apraxia with a novel APTX mutation.

    abstract::Early-onset ataxia with oculomotor apraxia and hypoalbuminemia is an autosomal recessive cerebellar ataxia characterized by oculomotor apraxia, peripheral neuropathy, and hypoalbuminemia. Mutations in aprataxin gene located at chromosome 9q13 have been identified recently in Japanese and European patients. This study ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.01.012

    authors: Ito A,Yamagata T,Mori M,Momoi MY

    更新日期:2005-07-01 00:00:00

  • Cell-Based Versus Enzyme-Linked Immunosorbent Assay for the Detection of Acetylcholine Receptor Antibodies in Chinese Juvenile Myasthenia Gravis.

    abstract:BACKGROUND:Patients in China with juvenile-onset myasthenia gravis present early, with a high prevalence of purely ocular symptoms, spontaneous remission rates, and low antibody seropositivity. Antibody detection using a cell-based assay has been reported to increase the diagnostic sensitivity in adult-onset myasthenia...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2019.01.016

    authors: Yan C,Li W,Song J,Feng X,Xi J,Lu J,Zhou S,Zhao C

    更新日期:2019-09-01 00:00:00

  • Fetal intracerebral hemorrhage in familial thrombophilia.

    abstract::We describe a fetal intracerebral hemorrhage associated with familial thrombophilia. Intraventricular and intraparenchymal hemorrhage of the left cerebral hemisphere was diagnosed at 22 weeks of gestation. Neuropathologic examination demonstrated a large germinal zone hemorrhage and ischemic changes secondary to bleed...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2009.04.027

    authors: Crespin M,Alhenc-Gelas M,Grangé G,Fallet-Bianco C,Fontenay M

    更新日期:2009-10-01 00:00:00

  • MRI in infantile neuroaxonal dystrophy.

    abstract::A 6-year-old boy with the typical clinical features of infantile neuroaxonal dystrophy was examined with magnetic resonance imaging. The findings suggested increased metal deposition in the globus pallidus. Magnetic resonance imaging findings of Hallervorden-Spatz syndrome and infantile neuroaxonal dystrophy are simil...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(89)90083-0

    authors: Ito M,Okuno T,Asato R,Mutoh K,Nakano S,Kataoka K,Fujii T,Mikawa H,Saida K

    更新日期:1989-07-01 00:00:00

  • Alterations in myelin formation in fetal brains of twins.

    abstract::Insufficient nutrition is known to lead to disturbances in postnatal myelin formation. This study aims to demonstrate that early myelination is altered in human twin pregnancies. Five brains of twins with a symmetric blood supply and three brains of twins with chronic fetal-fetal transfusion syndrome (one hypervolemic...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(98)00068-x

    authors: Ulfig N,Nickel J,Saretzki U

    更新日期:1998-10-01 00:00:00

  • Clinical manifestations in children with mitochondrial diseases.

    abstract::Mitochondrial diseases comprise a group of complex and heterogeneous genetic disorders. Variable clinical features present a major challenge in pediatric diagnoses. From January 1984-June 2009, 69 patients were diagnosed with either syndromic mitochondrial diseases or nonsyndromic mitochondrial diseases. Clinical mani...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2010.04.015

    authors: Chi CS,Lee HF,Tsai CR,Lee HJ,Chen LH

    更新日期:2010-09-01 00:00:00

  • Thrombectomy for Acute Stroke in Childhood: A Case Report, Literature Review, and Recommendations.

    abstract::The updated American Heart Association/American Stroke Association guidelines include recommendation for thrombectomy in certain adult stroke cases. The safety and efficacy of thrombectomy in children are unknown. An 8-year-old girl experienced acute stroke symptoms on two occasions while therapeutically anticoagulate...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/j.pediatrneurol.2016.09.007

    authors: Buompadre MC,Andres K,Slater LA,Mohseni-Bod H,Guerguerian AM,Branson H,Laughlin S,Armstrong D,Moharir M,deVeber G,Humpl T,Honjo O,Keshavjee S,Ichord R,Pereira V,Dlamini N

    更新日期:2017-01-01 00:00:00

  • Ratio of Alpha 2-Macroglobulin Levels in Cerebrospinal Fluid and Serum: An Expression of Neuroinflammation in Acute Disseminated Encephalomyelitis.

    abstract:BACKGROUND:Acute encephalitis and encephalopathy are life-threatening diseases in children. However, no laboratory examinations are performed for their early diagnosis and treatment. Alpha 2-macroglobulin (α2M) is a blood glycoprotein that increases during the early stages of inflammation. In the present study, we inve...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2019.04.020

    authors: Suzuki Y,Hashimoto K,Hoshi K,Ito H,Kariya Y,Miyazaki K,Sato M,Kawasaki Y,Yoshida M,Honda T,Hashimoto Y,Hosoya M

    更新日期:2019-09-01 00:00:00

  • Polyneuritis cranialis: full recovery after intravenous immunoglobulins.

    abstract::Polyneuritis cranialis is a rare disorder of multiple cranial nerve palsies without spinal cord involvement. The case reported is of a 10-year-old boy with multiple palsies involving cranial nerves III, IV, V, VI, VII, IX, X, XI, and XII cranial nerves, unilaterally or bilaterally. After initial, unsuccessful treatmen...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2007.05.002

    authors: Pavone P,Incorpora G,Romantshika O,Ruggieri M

    更新日期:2007-09-01 00:00:00

  • Acute disseminated encephalomyelitis after Rocky Mountain spotted fever.

    abstract::Although acute disseminated encephalomyelitis has been observed after a variety of viral infections and an occasional bacterial infection, it has not been reported in association with rickettsial infections. Reported is a 7-year-old male with magnetic resonance images and clinical manifestations suggestive of acute di...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(99)00028-4

    authors: Wei TY,Baumann RJ

    更新日期:1999-07-01 00:00:00

  • Sturge-Weber syndrome: study of 40 patients.

    abstract::Forty patients with Sturge-Weber syndrome were studied over a 26-year period. The nevus flammeus was unilateral in 27 patients (twice as often on left side) and bilateral in 13 patients. Only 3 of these 13 patients had bilateral cerebral lesions. Seizures, most of which were focal, were present in 32 patients (80%). T...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(93)90064-j

    authors: Pascual-Castroviejo I,Díaz-Gonzalez C,García-Melian RM,Gonzalez-Casado I,Muñoz-Hiraldo E

    更新日期:1993-07-01 00:00:00

  • Congenital hypotonia with favorable outcome.

    abstract::Congenital hypotonia with favorable outcome is characterized by an early neonatal onset and a benign clinical course. The old term, proposed by Walton, was benign congenital hypotonia, denoting the presence of muscle weakness and hypotonia, with the exception of Werdnig-Hoffmann disease. It has been clear that this te...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(02)00379-x

    authors: Carboni P,Pisani F,Crescenzi A,Villani C

    更新日期:2002-05-01 00:00:00

  • Syndrome of encephalopathy, petechiae, and ethylmalonic aciduria.

    abstract::We report a boy 20 months of age with encephalopathy, petechiae, and ethylmalonic aciduria (EPEMA). Other clinical features were severe hypotonia, orthostatic acrocyanosis, and chronic diarrhea. Magnetic resonance imaging (MRI) of the brain demonstrated bilateral lesions in the lenticular and caudate nuclei, periaqued...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(97)00048-9

    authors: García-Silva MT,Ribes A,Campos Y,Garavaglia B,Arenas J

    更新日期:1997-09-01 00:00:00

  • Neurogenic pulmonary edema in pediatric multiple sclerosis: patient report and summary of cases.

    abstract:BACKGROUND:Neurogenic pulmonary edema may be a complication of multiple neurological processes. Although there is debate regarding the underlying pathophysiology, the recognition of neurogenic pulmonary edema is vitally important because of the high-potential for mortality and need for treatment of the underlying disor...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2014.04.023

    authors: Sweeney M,Rubin J,Hopkins SE

    更新日期:2014-09-01 00:00:00

  • Rett syndrome: clinical and electrophysiologic aspects.

    abstract::Rett syndrome is a neurodevelopmental disorder that almost exclusively affects females. The clinical course as well as the electroencephalogram pattern are characteristic and have been correlated to the clinical stages of the disease. Sixty to 70 percent of the patients develop epilepsy. The aim of this retrospective ...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2006.10.003

    authors: Moser SJ,Weber P,Lütschg J

    更新日期:2007-02-01 00:00:00

  • A family of Emery-Dreifuss muscular dystrophy with extreme difference in severity.

    abstract::This report describes two patients, a father and son, with autosomal dominant Emery-Dreifuss muscular dystrophy. Although the father had the common phenotype, the son had a severe phenotype including early onset of weakness and fatal cardiomyopathy in childhood. Among the patients with severe phenotype of autosomal do...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2004.12.011

    authors: Higuchi Y,Hongou M,Ozawa K,Kokawa H,Masaki M

    更新日期:2005-05-01 00:00:00

  • Neuroimaging features in a neonate with rhizomelic chondrodysplasia punctata.

    abstract::Rhizomelic chondrodysplasia punctata is a rare genetic disorder of peroxisomal metabolism that is characterized clinically by shortening of the proximal limbs, cataracts, a characteristic facial appearance, failure to thrive, and psychomotor retardation. This report describes a newborn with a severe phenotype whose ne...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2007.07.006

    authors: Goh S

    更新日期:2007-11-01 00:00:00

  • Vanishing white matter disease with periodic (paroxysmal) hemiparesis.

    abstract::Vanishing white matter disease is a chronically progressive leukodystrophy with periods of acute deterioration after head trauma and febrile illness. This report describes a child with genetically and clinically confirmed vanishing white matter disease exhibiting frequent episodes of right-sided hemiplegia, aphasia, a...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2005.12.014

    authors: Ramaswamy V,Chan AK,Kolski HK

    更新日期:2006-07-01 00:00:00

  • Favorable Outcomes With Early Interleukin 6 Receptor Blockade in Severe Acute Necrotizing Encephalopathy of Childhood.

    abstract:BACKGROUND:Outcome in severe acute necrotizing encephalopathy of childhood is poor, with high mortality (30%) and moderate to severe disability in survivors despite the use of intravenous corticosteroids or immunoglobulins. Increased blood interleukin 6 level correlates with poor outcome. METHODS:We report the early u...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/j.pediatrneurol.2019.04.009

    authors: Koh JC,Murugasu A,Krishnappa J,Thomas T

    更新日期:2019-09-01 00:00:00

  • Kawasaki disease with predominant central nervous system involvement.

    abstract::A 4-year-old female was hospitalized with clinical and electroencephalographic evidence of acute encephalopathy. Five days later the classic signs of Kawasaki disease appeared. The neurologic outcome in this female was poor despite early treatment with immunoglobulin. Like many other vasculitidies, Kawasaki disease ca...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(01)00290-9

    authors: Tabarki B,Mahdhaoui A,Selmi H,Yacoub M,Essoussi AS

    更新日期:2001-09-01 00:00:00

  • Unusual presentation and course of HIV-1 progressive encephalopathy.

    abstract::The present report concerns a vertically human immunodeficiency virus type 1 (HIV-1)-infected 7-year-old child, in whom a neurodegenerative disease occurred after an acute neurologic disorder that was in all likelihood symptomatic of HIV-1 encephalitis. At the steady state the neurologic disease fulfilled the accepted...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(98)00147-7

    authors: Angelini L,Zibordi F,Triulzi F,Pinzani R,Plebani A

    更新日期:1999-04-01 00:00:00

  • MRI findings in children infected by Borrelia burgdorferi.

    abstract::Cranial magnetic resonance imaging abnormalities were observed in 8 children (5 boys, 3 girls; ages 4-14 years) with neurologic problems following infection by Borrelia burgdorferi, the etiologic agent of Lyme disease. Neurologic features included headache (6), behavioral changes (5), facial palsy (2), papilledema (2)...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(92)90003-h

    authors: Belman AL,Coyle PK,Roque C,Cantos E

    更新日期:1992-11-01 00:00:00

  • Neurologic complications in galactosemia.

    abstract::Two siblings, a 27-year-old man and his 24-year-old sister were diagnosed with classic transferase deficiency galactosemia at birth and were treated with strict lactose restriction. Despite well-documented dietary management, both siblings are mentally retarded and manifest a progressive neurologic condition character...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/0887-8994(92)90072-7

    authors: Koch TK,Schmidt KA,Wagstaff JE,Ng WG,Packman S

    更新日期:1992-05-01 00:00:00

  • Early expression of proteolipid protein in human fetal and infantile cerebri.

    abstract::Proteolipid protein (PLP) is the major myelin protein of the central nervous system and is widely believed to play an important structural role in maintaining the myelin compaction. We have studied the early developmental changes of PLP with immunohistochemical methods. Our data demonstrate for the first time a compar...

    journal_title:Pediatric neurology

    pub_type: 杂志文章

    doi:10.1016/s0887-8994(97)00099-4

    authors: Iai M,Yamamura T,Takashima S

    更新日期:1997-10-01 00:00:00

  • Traumatic spinal epidural hematoma of a 10-month-old male: a clinical note.

    abstract::Traumatic spinal epidural hematoma (TSEH) is rare in children. Only three cases of TSEH were documented in the pediatric literature. This clinical note presents an infant with TSEH but no risk factors. Without magnetic resonance imaging examination, children with TSEH and minor symptoms may be missed and under reporte...

    journal_title:Pediatric neurology

    pub_type: 杂志文章,评审

    doi:10.1016/s0887-8994(00)00151-x

    authors: Alva NS

    更新日期:2000-07-01 00:00:00