Significance of seizures associated with extracorporeal membrane oxygenation
We previously reported a predominance of left focal motor seizures in infants receiving extracorporeal membrane oxygenation (ECMO), raising concerns about possible ischemaia resulting from the right common crotid artery ligation. We therefore evaluated the neurologic and psychologic outcome at 2 yea...
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| Veröffentlicht in: | The Journal of pediatrics 1991-11, Vol.119 (5), p.789-792 |
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| container_title | The Journal of pediatrics |
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| creator | Campbell, L. Rebecca Bunyapen, Chantrapa Gangarosa, Maria E. Cohen, Morris Kanto, William P. |
| description | We previously reported a predominance of left focal motor seizures in infants receiving extracorporeal membrane oxygenation (ECMO), raising concerns about possible ischemaia resulting from the right common crotid artery ligation. We therefore evaluated the neurologic and psychologic outcome at 2 years of age of all infants with ECMO-related seizures. Although 8 of 12 infants had left focal seizures in infancy, there was no lateralization of motor findings at 2 years of age; left hemiparesis was present in three of the infants and right hemiparesis in three. The developmental quotient was normal in 6 of 12 infants, low-average in three, borderline in two, and in the mentally handicapped range in one. We conclude that any ischemia resulting from carotid ligation is not great enough to produce long-term lateralizing findings but that seizures during ECMO are a risk factor for later cerebral plasy or developmental delay. |
| doi_str_mv | 10.1016/S0022-3476(05)80304-X |
| format | Article |
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Rebecca ; Bunyapen, Chantrapa ; Gangarosa, Maria E. ; Cohen, Morris ; Kanto, William P.</creator><creatorcontrib>Campbell, L. Rebecca ; Bunyapen, Chantrapa ; Gangarosa, Maria E. ; Cohen, Morris ; Kanto, William P.</creatorcontrib><description>We previously reported a predominance of left focal motor seizures in infants receiving extracorporeal membrane oxygenation (ECMO), raising concerns about possible ischemaia resulting from the right common crotid artery ligation. We therefore evaluated the neurologic and psychologic outcome at 2 years of age of all infants with ECMO-related seizures. Although 8 of 12 infants had left focal seizures in infancy, there was no lateralization of motor findings at 2 years of age; left hemiparesis was present in three of the infants and right hemiparesis in three. The developmental quotient was normal in 6 of 12 infants, low-average in three, borderline in two, and in the mentally handicapped range in one. 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Rebecca</creatorcontrib><creatorcontrib>Bunyapen, Chantrapa</creatorcontrib><creatorcontrib>Gangarosa, Maria E.</creatorcontrib><creatorcontrib>Cohen, Morris</creatorcontrib><creatorcontrib>Kanto, William P.</creatorcontrib><title>Significance of seizures associated with extracorporeal membrane oxygenation</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>We previously reported a predominance of left focal motor seizures in infants receiving extracorporeal membrane oxygenation (ECMO), raising concerns about possible ischemaia resulting from the right common crotid artery ligation. We therefore evaluated the neurologic and psychologic outcome at 2 years of age of all infants with ECMO-related seizures. Although 8 of 12 infants had left focal seizures in infancy, there was no lateralization of motor findings at 2 years of age; left hemiparesis was present in three of the infants and right hemiparesis in three. The developmental quotient was normal in 6 of 12 infants, low-average in three, borderline in two, and in the mentally handicapped range in one. We conclude that any ischemia resulting from carotid ligation is not great enough to produce long-term lateralizing findings but that seizures during ECMO are a risk factor for later cerebral plasy or developmental delay.</description><subject>Biological and medical sciences</subject><subject>Child Behavior</subject><subject>Child, Preschool</subject><subject>Extracorporeal Membrane Oxygenation - statistics & numerical data</subject><subject>Follow-Up Studies</subject><subject>Georgia - epidemiology</subject><subject>Hemiplegia - epidemiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intellectual Disability - epidemiology</subject><subject>Intelligence</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Neurologic Examination</subject><subject>Risk Factors</subject><subject>Seizures - epidemiology</subject><subject>Seizures - physiopathology</subject><subject>Seizures - psychology</subject><subject>Surgery (general aspects). 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Rebecca ; Bunyapen, Chantrapa ; Gangarosa, Maria E. ; Cohen, Morris ; Kanto, William P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-e7c2c2b048e47beaddb849e4b348a1cb6eb3d226832aab0995c566ca49ef10723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Biological and medical sciences</topic><topic>Child Behavior</topic><topic>Child, Preschool</topic><topic>Extracorporeal Membrane Oxygenation - statistics & numerical data</topic><topic>Follow-Up Studies</topic><topic>Georgia - epidemiology</topic><topic>Hemiplegia - epidemiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intellectual Disability - epidemiology</topic><topic>Intelligence</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Neurologic Examination</topic><topic>Risk Factors</topic><topic>Seizures - epidemiology</topic><topic>Seizures - physiopathology</topic><topic>Seizures - psychology</topic><topic>Surgery (general aspects). 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Rebecca</au><au>Bunyapen, Chantrapa</au><au>Gangarosa, Maria E.</au><au>Cohen, Morris</au><au>Kanto, William P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significance of seizures associated with extracorporeal membrane oxygenation</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1991-11-01</date><risdate>1991</risdate><volume>119</volume><issue>5</issue><spage>789</spage><epage>792</epage><pages>789-792</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>We previously reported a predominance of left focal motor seizures in infants receiving extracorporeal membrane oxygenation (ECMO), raising concerns about possible ischemaia resulting from the right common crotid artery ligation. We therefore evaluated the neurologic and psychologic outcome at 2 years of age of all infants with ECMO-related seizures. 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| ispartof | The Journal of pediatrics, 1991-11, Vol.119 (5), p.789-792 |
| issn | 0022-3476 1097-6833 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Biological and medical sciences Child Behavior Child, Preschool Extracorporeal Membrane Oxygenation - statistics & numerical data Follow-Up Studies Georgia - epidemiology Hemiplegia - epidemiology Humans Infant Infant, Newborn Intellectual Disability - epidemiology Intelligence Medical sciences Miscellaneous Neurologic Examination Risk Factors Seizures - epidemiology Seizures - physiopathology Seizures - psychology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Significance of seizures associated with extracorporeal membrane oxygenation |
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