Abstract
Asphyxia implies a reduction in the supply of oxygen and substrates to brain tissue. Electrophysiologic measures have been recognized as being coupled to brain function, metabolism, and cerebral blood flow (CBF; Shapiro 1986). Therefore neurophysiologic methods have been applied to assess hypoxic and ischemic neonates and have been used as a prognostic tool. Recent studies of evoked potentials (EPs) gave good results as a means of prognostic evaluations (Willis et al. 1987, 1989; Majnemer et al. 1988; Klimach and Cooke 1989; Muttitt et al. 1991; Taylor et al. 1991, 1992). In this article we discuss the techniques of multimodality-evoked potentials (MEPs) that allow an evaluation of cerebral function and prognostic outcomes in asphyxia.
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References
Altman DI, Powers WJ, Perlman JM (1988) Cerebral blood flow requirement for brain viability in newborn infants is lower than in adults. Ann Neurol 24:218–226
Astrup J (1982) Energy requiring cell functions in the ischemic brain. J Neurosurg 56:482–497
Brantson NM, Ladds A, Symon L, Wang AD (1984) Comparison of the effects of ischaemia on early components of somatosensory-evoked potentials in brain stem, thalamus, and cerebral cortex. J Cereb Blood Flow Metab 4:468–481
Celesia GG (1985) Visual evoked responses. In: Owen JH, Davis H (eds) Evoked potential, testing, Clinical applications. Grune-Stratton, Orlando
Desmedt JE, Manil J (1970) Somatosensory-evoked potentials of the normal human neonate in REM sleep, in slow-wave sleep and in waking. Electroencephalogr Clin Neurophysiol 29:113–126
Dubowitz LMS, Mushin J, DeVries L, Arden GB (1986) Visual function in the newborn infant: is it cortically mediated? Lancet 1:1139–1141
Duffy FH, Iyer VG, Surwillo WW (1989) Average evoked potentials. In: Clinical electroencephalography and topographic brain mapping. Springer, Berlin Heidelberg, New York pp 203–217
Eggermont J J (1989) The onset and development of auditory function: contributions of evoked potential studies. J Speech Lang Pathol Audiol 13:5
Ellison P, Franklin S, Jones MG (1982) Serial EEG in the preterm infant as a predictor of neurological sequelae. Ann Neurol 12:213
Fenichel GM (1983) Hypoxic-ischaemic encephalopathy in the newborn. Arch Neurol 40: 261–266
François A, Sealais E, Battisti O, Langhendries JP, Bertrand JM, Withofs L (1992) Predicting neurological outcome in preterms: ultrasound? evoked potentials? Biol Neonate 62:305 (Abstract)
George SR, Taylor MJ (1991) Somatosensory evoked potentials in neonates and infants. Developmental and normative data. Electroencephalogr Clin Neurophysiol 80:94–102
Graziani LJ, Weitzman ED, Pineda G (1972) Visual-evoked potentials during neonatal respiratory disorders in low-birth-weight infants. Pediatr Res 6:203–210
Greisen G, Trojaborg W (1987) Cerebral blood flow, PaCO2 changes, and visual evoked potentials in mechanically ventilated preterm infants. Acta Pediatr Scand 76:394–400
Guérit JM (1991) Les potentiels évoqués. Masson Paris
Holmes G, Rowe J, Hafford J, Schmidt R, Testa M, Zimmerman A (1982) Prognostic value of the electroencephalogram in neonatal asphyxia. Electroencephalogr Clin Neurophysiol 53:60–72
Klimach VJ, Cooke RWI (1988) Short latency somatosensory-evoked responses of preterm infants with ultrasound abnormalities of the brain. Dev Med Child Neurol 30:215–221
Levene MI (1991) Physiological assessment of the asphyxiated newborn infant. In: Minn RH (ed) Problems of intracranial pressure in childhood. Blackwell, Oxford, pp 141–169 (Clinics in developmental medecine, vol 113/114)
Levene MI Kornberg J, Williams THC (1985) The incidence and severity of post-asphyxial encephalopathy in full-term infants. Early Hum Dev 11:21–26
Laureau E, Marlot D (1990) Somatosensory evoked potentials after median and tibial nerve stimulation in healthy newborns. Electroencephalogr Clin Neurophysiol 76:453–458
Laureau E, Majnemer A, Rosenblatt B, Riley P (1987) A longitudinal study of short latency somatosensory evoked responses in healthy newborns and infants. Electroencephalogr Clin Neurophysiol 3:350–355
Majnemer A, Rosenblatt B, Riley P, Laureau P, O’Gorman A (1988) Somatosensory-evoked response abnormalities in high-risk newborns. Electroencephalogr Clin Neurophysiol 71:100–108
Mayer M (1990) Potentiels évoques et électromyographie en pédiatrie. ABC, Masson, Paris
Muttiff SC, Taylor MJ, Kobayashi JS, Whyte HE, MacMillan L, Whyte HE (1991) Serial evoked potentials and outcome in term birth asphyxia. Pediatr Neurol 7:86–90
Pryds O, Greisen G (1990) Preservation of single-flash visual-evoked potentials at very low cerebral oxygen delivery in preterm infants. Pediatr Neurol 6:151–158
Purpura DP (1977) Developmental pathobiology of cortical neurons in immature humane brain. In: Gluck LL (ed) Intrauterine asphyxia and the developing humain brain. Year Book Medical Publishers, Chicago
Regan D (1989) Technical and mathematical considerations. In: Regan D (ed) Human brain electrophysiology. Evoked potentials and evoked magnetic fields in science and medecine. Elsevier, Amskrdam, pp 1–166
Salamy A (1984) Maturation of the auditory brain stem from birth through early childhood. J Clin Neurophysiol 1:293–329
Sarnat HB, Sarnat MS (1976) Neonatal encephalopathy following fetal distress: a clinical and electroencephalographic study. Arch Neurol 33:696–705
Scalais E, Débauché C, Verellen G, Guerit JM (1992) Arousal state changes on visual- evoked potentials (VEPs) in normal or asphyxiated newborns. Electroencephalogr Clin Neurophysiol (in press) (abstract)
Scalais E, François-Adant A, Bachy A, Gerard P, Guerit JM (1992b) Multimodality Evoked Potentials as a prognostic tool in term hypoxic—ischemic newborns. Biol Neonate Abstract 62:300
Scalais E, François-Adant A, Langhendries JP, Battisti O, Bertrand JM, Guerit JM (1992c) Multimodality evoked potentials assessment in hypoxic—ischemic preterm infants. Ann Neurol Abstract 32:480
Shapiro HH (1986) Anesthesia effects upon cerebral blood flow, cerebral metabolism, electroencephalogram, and evoked potentials. In: Miller RD (ed) Anesthesia, 2nd edn. Churchill Livingstone, New York, p 1276
Stapells DR, Kurtzberg D (1991) Evoked potential assessment of auditory system integrity in infants. Clin Perinatol 18:497–518
Taylor MJ (1991) EPs and ERPs in paediatrics. In: Barber C, Taylor MJ (eds) Evoked potentials review. IEPs publication 4:145–150
Taylor MJ, Menzies R, MacMillan LJ, Whyte HE (1987) VEPs in normal full-term and premature neonates: longitudinal versus cross-sectional data. Electroencephalogr Clin Neurophysiol 68:20–27
Taylor MJ, Murphy WJ, Whyte HE (1992) Prognostic reliability of Somatosensory and visual evoked potentials in asphyxiated term infants. Dev Med Child Neurol 34:507–515
Tharp BR, Cukier F, Monod N (1981) The prognostic value of the electroencephalogram in premature infants. Electroencephalogr Clin Neurophysiol 51:219–236
Trojaborg W, Boysen G (1973) Relation between EEG, regional cerebral blood flow, and internal carotid artery pressure during carotid endarterectomy. Electroencephalogr Clin Neurophysiol 34:61–69
Whyte HE, Pearce JM, Taylor MJ (1987) Changes in the VEP in preterm neonates with arousal states, as assessed by EEG monitoring. Electroencephalogr Clin Neurophysiol 68:223–225
Willis J, Duncan C, Bell R (1987) Short latency somatosensory-evoked potentials in perinatal asphyxia. Pediatr Neurol 3:203–207
Willis J, Duncan C, Bell R, Pappas F, Moniz M (1989) Somatosensory-evoked potentials predict neuromotor outcome after periventricular hemorrhage. Dev Med Child Neurol 31:435–439
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Scalais, E. (1993). Multimodality-Evoked Potentials in Perinatal Asphyxia. In: Haddad, J., Saliba, E. (eds) Perinatal Asphyxia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77896-4_12
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DOI: https://doi.org/10.1007/978-3-642-77896-4_12
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