Detection of seizures with amplitude-integrated electroencephalography in a neonate treated with extracorporeal membrane oxygenation.

Abstract

Infants with severe cardiorespiratory failure treated with extracorporeal membrane oxygenation are at risk of hypoxic-ischemic injury and infarction of the brain, intracranial hemorrhage, and seizures. Consequently, this can lead to adverse neurodevelopmental outcome. We present a neonate treated with veno-arterial extracorporeal membrane oxygenation due to diaphragmatic hernia. The infant's brain function was continuously monitored with amplitude-integrated electroencephalography. The child experienced clinical seizures and subclinical seizure discharges, detected by amplitude-integrated electroencephalography, permitting the opportunity to treat them and adjust the anticonvulsive treatment accordingly.

• Authors: Stefan Grosek, Damjan Osredkar, Metka Derganc, David Neubauer, Janez Primozic
• Journal: Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics (Zhongguo Dang Dai Er Ke Za Zhi) Vol. 10 Issue 4 Pg. 547-51 (Aug 2008) ISSN: 1008-8830 [Print] China
• PMID: 18706189 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Electroencephalography (methods)
• Extracorporeal Membrane Oxygenation
• Female
• Humans
• Infant, Newborn
• Monitoring, Physiologic
• Seizures (diagnosis)