When combined, early bedside head ultrasound and electroencephalography predict abnormal computerized tomography or magnetic resonance brain images obtained after extracorporeal membrane oxygenation treatment

Catherine M. Gannon, Michael S. Kornhauser, George W. Gross, Thomas E. Wiswell, Stephen Baumgart, Leopold Streletz, Leonard J. Graziani, Alan R. Spitzer

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Definitive neuroimaging of the brain using computerized tomography (CT) or magnetic resonance imaging (MRI) in extracorporeal membrane oxygenation (ECMO) - treated infants must be delayed until after this therapy is completed. Bedside head ultrasound (HUS) and electro-encephalography (EEG) studies during ECMO, if highly correlated with later definitive neuroimaging, might be used to affect the acute clinical care and early parental counseling of infants with severe cardiorespiratory failure. One hundred and sixty ECMO-treated patients had both bedside EEG and HUS studies performed during ECMO, as well as a later CT or MRI study prior to hospital discharge. There was a significant difference in CT or MRI findings among patients having normal studies on both the HUS and EEG, compared to those having an abnormality on either the HUS or the EEG, and compared to those having abnormalities on both studies. In ECMO-treated infants, the combination of a normal bedside HUS and an EEG without marked abnormalities is highly predictive of normal post-ECMO CT and MRI neuroimaging studies.

Original languageEnglish
Pages (from-to)451-455
Number of pages5
JournalJournal of Perinatology
Volume21
Issue number7
DOIs
Publication statusPublished - 2001
Externally publishedYes

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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