Academic Journal
Vasospasm in children with traumatic brain injury.
| Τίτλος: | Vasospasm in children with traumatic brain injury. |
|---|---|
| Συγγραφείς: | O'Brien NF; Nationwide Children's Hospital, Columbus, OH, 43205, USA. Nicole.Obrien@nationwidechildrens.org, Reuter-Rice KE, Khanna S, Peterson BM, Quinto KB |
| Πηγή: | Intensive care medicine [Intensive Care Med] 2010 Apr; Vol. 36 (4), pp. 680-7. Date of Electronic Publication: 2010 Jan 21. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Verlag Country of Publication: United States NLM ID: 7704851 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1238 (Electronic) Linking ISSN: 03424642 NLM ISO Abbreviation: Intensive Care Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York : Springer Verlag Original Publication: Berlin ; New York, Springer International. |
| Ιατρικοί όροι (MeSH): | Brain Injuries/*complications , Vasospasm, Intracranial/*etiology, Brain Injuries/diagnostic imaging ; Brain Injuries/epidemiology ; Middle Cerebral Artery/diagnostic imaging ; Vasospasm, Intracranial/diagnostic imaging ; Vasospasm, Intracranial/epidemiology ; Adolescent ; Blood Flow Velocity ; Cerebrovascular Circulation ; Chi-Square Distribution ; Child ; Child, Preschool ; Female ; Glasgow Coma Scale ; Humans ; Incidence ; Infant ; Intensive Care Units ; Male ; Pilot Projects ; Prospective Studies ; Statistics, Nonparametric ; Ultrasonography, Doppler, Transcranial |
| Περίληψη: | Objective: To determine the incidence of vasospasm in children who have suffered moderate to severe traumatic brain injury. Methods: A prospective observational pilot study in a 24-bed pediatric intensive care unit was performed. Twenty-two children aged 7 months to 14 years with moderate to severe traumatic brain injury as indicated by Glasgow Coma Score </=12 and abnormal head imaging were enrolled. Transcranial Doppler ultrasound was performed to identify and follow vasospasm. Patients with a flow velocity in the middle cerebral artery (MCA) >120 cm/s were considered to have vasospasm by criterion A. If flow velocity in the MCA was >120 cm/s and the Lindegaard ratio was >3, vasospasm was considered to be present by criterion B. Patients with basilar artery (BA) flow velocity >90 cm/s met criteria for vasospasm in the posterior circulation (criterion C). Results: In the MCA, 45.5% of patients developed vasospasm based on criterion A and 36.3% developed vasospasm based on criterion B. A total of 18.2% of patients developed vasospasm in the BA by criterion C. Typical day of onset of vasospasm was hospital day 2-3. Duration of vasospasm in the anterior circulation was 4 +/- 2 days based on criteria A and 3 +/- 1 days based on criteria B. Vasospasm in the posterior circulation persisted for 2 +/- 1 days. Conclusions: Using the adult criteria outlined above to diagnose vasospasm, a significant proportion of pediatric patients who have suffered moderate to severe traumatic brain injury develop vasospasm during the course of their treatment. |
| References: | Crit Care Med. 2003 Jun;31(6 Suppl):S407-91. (PMID: 12870446) Childs Nerv Syst. 2002 Apr;18(3-4):124-8. (PMID: 11981618) Neurosurgery. 1990 Jul;27(1):106-12. (PMID: 2198481) J Neurosurg. 1997 Aug;87(2):221-33. (PMID: 9254085) Pediatr Res. 2005 Sep;58(3):574-8. (PMID: 16148076) J Neurosurg. 1984 Jan;60(1):37-41. (PMID: 6689726) Arch Dis Child. 1988 Jun;63(6):606-11. (PMID: 3389890) Minerva Anestesiol. 2004 Jul-Aug;70(7-8):549-604. (PMID: 15252371) J Child Neurol. 1989;4 Suppl:S68-76. (PMID: 2681381) Pediatrics. 2004 Jun;113(6):1642-52. (PMID: 15173485) J Neurosurg. 1992 Oct;77(4):575-83. (PMID: 1527618) Pediatrics. 2007 Mar;119(3):e610-5. (PMID: 17283178) Stroke. 1993 Sep;24(9):1305-9. (PMID: 8362422) Acta Neurochir (Wien). 1989;100(1-2):12-24. (PMID: 2683600) Br J Neurosurg. 1987;1(4):435-9. (PMID: 3077273) Surg Neurol. 2005 Aug;64(2):174-9; discussion 179. (PMID: 16051018) J Neurosurg. 1982 Dec;57(6):769-74. (PMID: 7143059) Surg Neurol. 2009 Oct;72(4):389-94. (PMID: 19608224) J Neurosurg. 2005 Nov;103(5):812-24. (PMID: 16304984) Eur J Pediatr. 1989 Feb;148(5):406-11. (PMID: 2646127) Crit Care Med. 2009 Nov;37(11):2973-8. (PMID: 19770734) |
| Entry Date(s): | Date Created: 20100122 Date Completed: 20100610 Latest Revision: 20211020 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC2837183 |
| DOI: | 10.1007/s00134-009-1747-2 |
| PMID: | 20091024 |
| Βάση Δεδομένων: | MEDLINE |
καταχωρήστε σχόλιο πρώτοι!