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Related Experiment Videos

Neonatal burst suppression: its developmental significance.

M M Grigg-Damberger1, S B Coker, C L Halsey

  • 1Department of Neurology, Loyola University of Chicago Stritch School of Medicine, Maywood, Illinois.

Pediatric Neurology
|March 1, 1989
PubMed
Summary

Neonatal burst suppression on electroencephalograms indicates a poor prognosis. Most infants with this EEG pattern experienced severe neurodevelopmental deficits or death, highlighting its significance.

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Area of Science:

  • Neonatal neurology
  • Clinical electroencephalography
  • Developmental pediatrics

Background:

  • Burst suppression is an electroencephalogram (EEG) pattern observed in term infants.
  • The prognostic significance of neonatal burst suppression requires further elucidation.

Purpose of the Study:

  • To investigate the neurodevelopmental outcomes and prognostic implications of burst suppression detected via EEG in term infants.

Main Methods:

  • Retrospective review of 274 term infants over 5 years.
  • Analysis of EEG recordings for burst suppression.
  • Clinical examination, perinatal history review, and neurodevelopmental testing of affected infants.

Main Results:

  • Burst suppression was identified in 15 (5.4%) infants.

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  • 93% of infants with burst suppression had poor outcomes, including death (26%) or severe neurodevelopmental deficits.
  • Survivors exhibited significant motor deficits, intellectual disability (mean Gesell DQ 28), intractable epilepsy, and blindness.

    • Conclusions:

    • Neonatal burst suppression is a strong predictor of severe neurodevelopmental disability or mortality.
    • Early identification and intervention may be crucial, although outcomes remain dire.