[Brainstem edema in patients with acute encephalopathy and encephalitis].
The author reported eleven patients with brainstem edema on cranial CT. Nine had acute encephalopathy or Reye syndrome and the other two had acute encephalitis. Seven cases died and four cases survived. Dead cases showed brainstem edema significantly faster than the survivors. Laboratory examinations revealed significant differences of LDH, platelet and HCO3(-) between the two groups. Six patients died in the winter. The duration of convulsion was more than 30 minutes in all the dead cases.
Department of Pediatrics, Sapporo City General Hospital.
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Ishikawa
D000138:Acidosis / Q000209:etiology; D000208:Acute Disease; D001929:Brain Edema / Q000000981:diagnostic imaging* / Q000209:etiology; D001933:Brain Stem / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D004660:Encephalitis / Q000150:complications*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012202:Reye Syndrome / Q000150:complications*; D014057:Tomography, X-Ray Computed