[Assessment of central nervous system functional disorders in severely burned patients by auditory evoked brain stem potentials].
The recording of brainstem auditory evoked potentials (BAEP) in severely burned patients can be used for judgement of brainstem function independent of consciousness and CNS-effective drugs. The frequency of central-nervous system complications due to burn injuries is between 7 and 30%. Using BAEP-recordings, we found objective neurophysiological parameters of central-nervous dysfunction in 12 of 25 severely burned patients (48%). Specific BAEP-parameters for burn injuries could not be detected. Specifically, very different time courses of BAEP-changes were found. In two patients, who died after severe burn injury, typical neurophysiological patterns of progressive cerebral pressure were observed. The measurement of BAEP is a useful diagnostic tool in detecting central-nervous dysfunction after burn injuries, especially for monitoring in non-cooperative patients.
Tegenthoff
M
M
Neurologischen Klinik, Berufsgenossenchaftlichen Kliniken Bergmannsheil, Universitätsklinik Bochum.
Waskönig
M T
MT
Büttemeyer
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000503:physiopathology*; D001933:Brain Stem / Q000503:physiopathology*; D002056:Burns / Q000150:complications / Q000503:physiopathology*; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D002648:Child; D003128:Coma / Q000503:physiopathology; D016057:Evoked Potentials, Auditory, Brain Stem / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011379:Prognosis; D011930:Reaction Time / Q000502:physiology
Erfassung zentralnervöser Funktionsstörungen bei Schwerbrandverletzten mittels akutsich evozierter Hirnstammpotentiale.