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M9651040.TXT
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1996-03-30
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Document 1040
DOCN M9651040
TI [Value of EEG in the characterization and prognosis of neurological
diseases in premature infants]
DT 9505
AU Nunes ML; da Costa JC; Taufer L; da Silveira CM; Servico de Neurologia,
Hospital Sao Lucas, Faculdade de; Medicina da Pontifica Universidade
Catolica do Rio Grande do; Sul (PUCRS), Porto Alegre, Brasil.
SO Arq Neuropsiquiatr. 1995 Sep;53(3-B):625-30. Unique Identifier :
AIDSLINE MED/96139192
AB The importance of the EEG for the investigation of neurological diseases
in the neonatal period has been largely discussed, since it is often the
only way to approach cerebral function in newborns with severe
pathologies or under drug effect. The present study was carried out with
85 newborns (NB) who presented perinatal dysfunctions and were submitted
to neurological and electroencephalogram (EEG) or polysomnography (PS)
evaluation. EEG/PS alterations, pathologies and prognosis were reported.
The EEG were classified according to basal activity alterations,
presence of paroxysmal activity and sleep stages organization and
maturity. The most frequent pathology was perinatal asphyxia (40%)
followed by intraventricular hemorrhage (HIV, 16%). The most frequent
complaint for exam indication was apnea (71%) followed by convulsion
(19%). Fifty-five percent of the exams exclusively required because
apnea complaint were considered normal and out of all exams required
because seizures only 31% were normal. The EEG alteration most
frequently related to perinatal asphyxia, HIV and intrauterine growth
delay was immaturity and in the NB with seizures immature EEG and
abnormal paroxysms. Many different alterations were registered in the NB
with nervous system infection. The EEG findings more correlated with
unfavorable prognosis were isoelectricity and abnormal paroxysmal
activity including positive sharp waves (100%).
DE Central Nervous System Diseases/*DIAGNOSIS/PHYSIOPATHOLOGY Comparative
Study *Electroencephalography English Abstract Female Follow-Up
Studies Human Infant, Newborn Infant, Premature,
Diseases/*DIAGNOSIS/PHYSIOPATHOLOGY Infant, Very Low Birth Weight Male
Polysomnography Prognosis CLINICAL TRIAL JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).