Author/Editor		Butinar, Dušan
Title		Nevrofiziološka ocena funkcionalnih motenj centralnega živčnega sistema po hudi poškodbi možganov pri otrocih
Translated title		Neurophysiological evaluation of functional central nervous system disturbances after severe brain injury in children
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		1997
Volume		str. 143
Language		slo
Abstract		The aim of the thesis was to assess the value of the neurophysiological tests in prediction of coma outcome in children after severe head injury -GCS more then or equal 8, and to compare them with the well established methods (Glasgow, Frankfurt, Innsbruck Coma Scale score, brainstem sydromes) used on admission. We also wanted to evaluate the current theories on severe brain injury mechanisms (Adams' theory aboout diffuse axonal lesion; and Grčevič's theoroy on inner brain injury). We examined 140 children, of which 129 were with severe head injury and 11 were ischaemic brain injury. There were 79 boys and 50 girls with head injuries, and 5 boys and 6 girls with ischaemic lesion. Their average age was 6 years 10 months and 7 years 6 months with the range from 2 months to 17 years and 18 months to 11 years, respectively. 47% of children in the first group were injured as pedestrians in traffic accidents, 18% were injured as passengers in the cars and due to falls, 11% were injured in bicycle accidents and 3% had injuries caused by assault and were injured in winter sport injuries. Drowning was the cause of ischaemic brain injury in 45% of the second group, another 45% of injuries. Drowning was the cause of ischaemic brain injury in 45% of the second group, another 45% of injuries. Drowning was the cause of ischaemic brain injury in 45% of the second group, another 45% of children suffered from cardiac arrest, and 9% suffered an ischaemic brain lesion due to strangulation. Children were classified on admission according to clinical picture (brainstem syndromes) and according to different coma scales (Glasgow, Frankfurt, and Innsbruck), they underwent computer tomography (CT) and other imaging examinations. (Abstract tuncated at 2000 characters).
Descriptors		COMA CEREBRAL ISCHEMIA TRAUMA SEVERITY INDICES BRAIN INJURIES CHILD GLASGOW COMA SCALE TOMOGRAPHY, X-RAY COMPUTED ELECTROENCEPHALOGRAPHY PHYSICAL EXAMINATION EVOKED POTENTIALS, AUDITORY, BRAIN STEM EVOKED POTENTIALS, SOMATOSENSORY BRAIN STEM SURVIVAL ANALYSIS UNCONSCIOUSNESS