
应用振幅整合脑电图监测体外膜肺治疗过程中的新生儿癫癎1例
Stefan GROSEK, Damjan OSREDKAR, Metka DERGANC, David NEUBAUER, Janez PRIMO
中国当代儿科杂志 ›› 2008, Vol. 10 ›› Issue (4) : 547-551.
应用振幅整合脑电图监测体外膜肺治疗过程中的新生儿癫癎1例
Detection of seizures with amplitude-integrated electroencephalography in a neonate treated with extracorporeal membrane oxygenation
Infants with severe cardiorespiratory failure treated with extracorporeal membrane oxygenation are at risk of hypoxic-ischemic injury and infarction of the brain, intracranial hemorrhage, and seizures. Consequently, this can lead to adverse neurodevelopmental outcome. We present a neonate treated with veno-arterial extracorporeal membrane oxygenation due to diaphragmatic hernia. The infant′s brain function was continuously monitored with amplitude-integrated electroencephalography. The child experienced clinical seizures and subclinical seizure discharges, detected by amplitude-integrated electroencephalography, permitting the opportunity to treat them and adjust the anticonvulsive treatment accordingly.
Infants with severe cardiorespiratory failure treated with extracorporeal membrane oxygenation are at risk of hypoxic-ischemic injury and infarction of the brain, intracranial hemorrhage, and seizures. Consequently, this can lead to adverse neurodevelopmental outcome. We present a neonate treated with veno-arterial extracorporeal membrane oxygenation due to diaphragmatic hernia. The infant′s brain function was continuously monitored with amplitude-integrated electroencephalography. The child experienced clinical seizures and subclinical seizure discharges, detected by amplitude-integrated electroencephalography, permitting the opportunity to treat them and adjust the anticonvulsive treatment accordingly.