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[Evoked potentials in comatose children].

M L Sonnet, D Floret, C Guillaume

    Pediatrie
    |January 1, 1987
    PubMed
    Summary
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    Evoked potentials (EPs) in comatose children can predict outcomes. Normal auditory and somatosensory EPs suggest good recovery, while absent EPs indicate a poor prognosis, aiding in neurological assessment.

    Area of Science:

    • Neuroscience
    • Clinical Neurophysiology

    Context:

    • Assessing prognosis in severely comatose children is challenging due to nervous system maturation.
    • Median nerve stimulation for auditory and somatosensory evoked potentials (EPs) offers insights into the central nervous system.

    Purpose:

    • To investigate the prognostic value of auditory and somatosensory evoked potentials in severely comatose children.
    • To correlate evoked potential findings with patient outcomes and neurological sequelae.

    Summary:

    • Studied 20 comatose children (8 months-15 years) in intensive care, many mechanically ventilated and sedated.
    • Normal evoked potentials correlated with good recovery.
    • Absent somatosensory evoked potentials indicated poor outcomes, often linked to cerebral edema.

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    Impact:

    • Repeated determination of auditory and somatosensory EPs can improve prognostic accuracy in comatose pediatric patients.
    • Evoked potentials serve as a valuable tool for neurological prognostication in pediatric intensive care settings.