在小儿动脉静脉形形破裂后的电图发作和的预测因素
Julia S Keenan1, Dana B Harrar2, Claire Har1
1Division of Epilepsy and Neurophysiology, Children's National Hospital, Washington, DC; Department of Neurology, Children's National Hospital, Washington, DC.
The Journal of pediatrics
|September 29, 2024
概括
电脑电图 (EEG) 确认的发作在动脉静脉形 (AVM) 破裂后不常见,导致脑内出血 (ICH). 然而,患有远程发作 (破裂后30天以上) 的患者面临患的风险更高.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 儿科重症监护室的儿童重症监护室
背景情况:
- 由动脉静脉形 (AVM) 破裂引起的脑内出血 (ICH) 可以导致发作和.
- 预测这些患者的发育对于及时干预至关重要.
研究的目的:
- 为了确定临床和脑电图 (EEG) 预测的儿科患者,由于AVM破裂导致ICH.
- 在这个群体中确定电图发作和发作的发生率.
主要方法:
- 在11年内对患有AVM破裂的二次性ICH的儿科患者进行了回顾性审查.
- 分析临床变量,发作类型 (急性,亚急性,远程) 和EEG发现.
- 对结果的评估,包括离院后的死亡率和发育情况.
主要成果:
- 百分之十六的患者患上了,中位数的诊断时间是断裂后的1.34年.
- 远程发作 (发生在AVM破裂后30天以上) 与发育有显著的相关性 (P < .001).
- 急性症状发作 (破裂后<7天) 并没有预测 (P = .16).
结论:
- 脑电图确认的发作不常见,但可能表明AVM破裂后的ICH患者的发作负担很高.
- 远程发作的发生是该人群中随后发展的关键预测因素.
关键词:
集成电力联盟 (ICU) 的EEG.这是一种动脉静脉形形.电脑脑电图 (EEG) 是一种电脑电图.电子图片抓获的情况.是一种.儿科重症监护室的重症监护室儿科中风 儿科中风儿科 儿科 儿科 儿科更多相关视频
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