Detection of seizures with amplitude-integrated electroencephalography in a neonate treated with extracorporeal membrane oxygenation.
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.
Grosek
Stefan
S
Department of Pediatric Surgery and Intensive Care, University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Osredkar
Damjan
D
Derganc
Metka
M
Neubauer
David
D
Primozic
Janez
J
D004569:Electroencephalography / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008991:Monitoring, Physiologic; D012640:Seizures / Q000175:diagnosis*