Changes in cerebral hemodynamics and amplitude integrated EEG in an asphyxiated newborn during and after cool cap treatment

被引：25

作者：

Ancora, Gina ^{[1
]}

Maranella, Eugenia ^{[1
]}

Locatelli, Chiara ^{[1
]}

Pierantoni, Luca ^{[1
]}

Faldella, Giacomo ^{[1
]}

机构：

[1] Univ Bologna, Inst Neonatol, I-40138 Bologna, Italy

来源：

BRAIN & DEVELOPMENT | 2009年 / 31卷 / 06期

关键词：

Hypoxic-ischemic encephalopathy; Near infrared spectroscopy; Brain cooling; Amplitude integrated EEG; NEONATAL ENCEPHALOPATHY; OXYGENATION;

D O I：

10.1016/j.braindev.2008.06.003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Amplitude integrated EEG (aEEG) and Near Infrared Spectroscopy (NIRS) were applied in a newborn with a moderate hypoxic-ischemic encephalopathy before, during and after brain cooling. At 2 h of life a selective head cooling with mild systemic hypothermia was started and maintained for 72 h. aEEG background pattern improved from severely abnormal to normal during the first 17 h of life. NIRS revealed a reduction in cerebral blood volume (CBV) during hypothermia that recovered during the rewarming period, whereas brain oxygenation remained stable. As brain cooling is supposed to reduce delayed hyperemia and help to maintain neuronal metabolism following cerebral insults, aEEG and NIRS monitoring may be useful during hypothermic treatment in order to document changes in CBV and brain oxygenation possibly reflecting the efficacy of hypothermia. (C) 2008 Elsevier B.V. All rights reserved.

引用

页码：442 / 444

页数：3

共 10 条

[1] Assessment of neonatal encephalopathy by amplitude-integrated electroencephalography [J].