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Update 1989 pp 489–495Cite as

Non-traumatic Cerebral Insult in Children: Intensive Care Aspects

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Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 8))

Abstract

A significant proportion of children requiring medical intensive care during a critical illness has non-traumatic cerebral insults. For example, central nervous system (CNS) infection, hypoxic/ischemic encephalopathy, metabolic encephalopathy, refractory status epilepticus, multisystem disease and shock syndromes account for almost 30% of admissions to our own intensive care unit. Important features which differentiate these patients from others requiring this level of care and intervention include the multifactorial disease processes leading to cerebral impairment and the difficulty of assessing change in cerebral state purely clinical means. This paper will discuss both general pediatric aspects and the role of nonclinical neurological monitoring used in management.

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References

  1. Seshia SS, Seshia MMK, Sachdeva RK (1977) Coma in childhood. Dev Med Child Neurol 19:614–628

    Article  PubMed  CAS  Google Scholar 

  2. Brown JK, Habel AH (1975) Toxic encephalopathy and acute brain-swelling in children. Dev Med Child Neurol 17:659–679

    Article  PubMed  CAS  Google Scholar 

  3. Tasker RC, Matthew DJ, Helms P, Dinwiddie R, Boyd S (1988) Monitoring in non-traumatic coma. Part I: invasive intracranial measurements. Arch Dis Child 63:888–894

    Article  PubMed  CAS  Google Scholar 

  4. Shaywitz BA, Leventhal JM, Kramer MS, Venes JL (1977) Prolonged continuous monitoring of intracranial pressure in severe Reye’s syndrome. Pediatrics 59:595–605

    PubMed  CAS  Google Scholar 

  5. Jenkings JG, Glasgow JFT, Black GW, et al (1987) Reye’s syndrome: assessment of intracranial monitoring. Br Med J 294:337–338

    Article  Google Scholar 

  6. Pascucci RC (1988) Head trauma in the child. Intensive Care Med 14:185–195

    Article  PubMed  CAS  Google Scholar 

  7. Chiappa KH, Ropper AH (1982) Evoked potentials in clinical medicine. N Engl J Med 306:1140–1150

    Article  PubMed  CAS  Google Scholar 

  8. Goitein KJ, Fainmesser P, Sohmer H (1983) Cerebral perfusion pressure and auditory brain-stem responses in childhood CNS diseases. Am J Dis Child 137:777–781

    PubMed  CAS  Google Scholar 

  9. Lutschg J, Pfenninger J, Ludin HP, Vassella (1983) Brain-stem auditory evoked potentials and early somatosensory evoked potentials in neurointensively treated comatose children. Am J Dis Child 137:421–426

    PubMed  CAS  Google Scholar 

  10. Van Bel F, Van de Bor M, Stijnen T, Baan J, Ruys JH (1987) Cerebral blood flow velocity pattern in health and asphyxiated newborns: a controlled study. Eur J Pediatr 146:461–467

    Article  PubMed  Google Scholar 

  11. Kirkham FJ, Levin SD, Padayachee TS, Kyme MC, Neville BGR, Gosling RG (1987) Transcranial pulsed Doppler ultrasound findings in brain stem death. J Neurol Neurosurg Psychiatry 50:1504–1513

    Article  PubMed  CAS  Google Scholar 

  12. Klingelhofer J, Conrad B, Benecke R, Sander D, Marakis E (1988) Evalution of intracranial pressure from transcranial Doppler studies in cerebral disease. J Neurol 235:159–162

    Article  PubMed  CAS  Google Scholar 

  13. Sarniak AP, Preston G, Lieh-Lai M, Eisenbrey AB (1985) Intracranial pressure and cerebral perfusion pressure in near-drowning. Crit Care Med 13:224–227

    Article  Google Scholar 

  14. Rebaud P, Berthier JC, Hartemann E, Floret D (1987) Intracranial pressure in childhood central nervous system infections. Intensive Care Med 14:522–525

    Article  Google Scholar 

  15. Tasker RC, Boyd S, Harden A, Matthew DJ (1988) Monitoring in non-traumatic coma. Part II: electroencephalography. Arch Dis Child 63:895–899

    Article  PubMed  CAS  Google Scholar 

  16. Markand ON (1984) Electroencephalography in diffuse encephalopathies. J Clin Neurophysiol 1:357–407

    PubMed  CAS  Google Scholar 

  17. Maynard DE, Jenkinson JL (1984) The cerebral function analysing monitor. Anaesthesia 39:678–690

    Article  PubMed  CAS  Google Scholar 

  18. Prior PF, Maynard DE (1986) Monitoring in the intensive care unit. In: Monitoring cerebral function: Long-term monitoring of EEG and evoked potentials, 2nd edn. Elsevier, Amsterdam, pp 232–256

    Google Scholar 

  19. Talwar D, Torres F (1988) Continuous electrophysiologic monitoring of cerebral function in the pediatric intensive care unit. Pediatr Neurol 4:137–147

    Article  PubMed  CAS  Google Scholar 

  20. Tasker RC, Boyd SG, Matthew DJ, Harden A (1988) EEG monitoring in children treated with thiopentone for uncontrolled seizures. Electroencephalogr clin Neurophysiol (in press)

    Google Scholar 

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© 1989 Springer-Verlag Berlin Heidelberg

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Tasker, R.C., Boyd, S.G., Matthew, D.J. (1989). Non-traumatic Cerebral Insult in Children: Intensive Care Aspects. In: Vincent, J.L. (eds) Update 1989. Update in Intensive Care and Emergency Medicine, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83737-1_57

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  • DOI: https://doi.org/10.1007/978-3-642-83737-1_57

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50879-3

  • Online ISBN: 978-3-642-83737-1

  • eBook Packages: Springer Book Archive

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