کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3037823 | 1184432 | 2010 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Unexpected neurological sequelae following propofol anesthesia in infants: Three case reports
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کلمات کلیدی
T2wPICUT2-weighted - T2 وزنElectroencephalogram - الکتروانسفالوگرافیMRI - امآرآی یا تصویرسازی تشدید مغناطیسیAnesthesia - بیهوشیSeizures - تشنجMagnetic resonance imaging - تصویربرداری رزونانس مغناطیسیCSF - مایع مغزی نخاعیmicrocephaly - میکروسفالیdevelopmental disabilities - ناتوانی رشدیEEG - نوار مغزیPediatric Intensive Care Unit - واحد مراقبتهای ویژه کودکانPropofol - پروپوفول
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
علوم اعصاب تکاملی
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Unexpected neurological sequelae following propofol anesthesia in infants: Three case reports Unexpected neurological sequelae following propofol anesthesia in infants: Three case reports](/preview/png/3037823.png)
چکیده انگلیسی
Propofol is a widely used hypnotic agent for induction and maintenance of pediatric anesthesia with a well known safety profile. Experimental in vitro studies suggest that propofol may be toxic to developing neurons. We report the cases of three infants who underwent surgery before 2 months of age for different benign pathologies. Propofol was used for induction and maintenance of anesthesia in all cases. The three patients developed convulsions with similar clinical characteristics (cluster of recurrent clinical and subclinical seizures) between the 23th and 30th hours following anesthesia. Clinical and electroencephalographic improvement was obtained between the third and fourth day of management in pediatric intensive care unit. The seizures never recurred, and the three patients underwent further uneventful general anesthesia without propofol. Follow-up of the three patients disclosed unexpected neurological dysfunction: progressive microcephaly (head circumferences were normal at birth), developmental impairment with cognitive and behavioural disturbances in two cases, and bilateral symmetrical white-matter abnormalities on cerebral magnetic resonance imaging. Conclusion: The causal relationship between propofol anesthesia and the neurological symptoms of our patients remains difficult to ascertain, but we believe that pediatricians, anesthetists and intensive care-givers should be aware of this possible adverse reaction that has never been described before.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Brain and Development - Volume 32, Issue 10, November 2010, Pages 872-878
Journal: Brain and Development - Volume 32, Issue 10, November 2010, Pages 872-878
نویسندگان
P. Meyer, C. Langlois, S. Soëte, J. Leydet, B. Echenne, F. Rivier, A. Bonafé, A. Roubertie,