Publications by authors named "A Sansevere"

Introduction: To assess the alpha-delta ratio (ADR) as a biomarker for cerebral injury and stroke in pediatric extracorporeal membrane oxygenation (ECMO).

Methods: Retrospective study of children aged >44 weeks gestation to 21 years monitored with continuous electroencephalography during ECMO. The interhemispheric ADR difference between the left and right hemisphere was calculated per hour.

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Objective: To describe electroencephalographic (EEG) changes in pediatric patients with cerebral edema after cardiac arrest.

Methods: A retrospective study of patients admitted to the pediatric intensive care unit from July 2021 to January 2023. We included patients with cardiac arrest and changes in EEG background with clinical changes and/or neuroimaging consistent with cerebral edema.

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Article Synopsis
  • The study aimed to identify clinical and EEG predictors of epilepsy in pediatric patients who experienced spontaneous intracerebral hemorrhage due to arteriovenous malformation (AVM) rupture, as well as to evaluate the occurrence of electrographic seizures.
  • Researchers conducted a retrospective review of pediatric patients over 11 years, examining medical records to assess seizure types categorized as acute, subacute, and remote, along with outcomes like mortality and epilepsy development post-discharge.
  • Of the 43 patients reviewed, 16% had a clinical seizure before EEG, 16% were later diagnosed with epilepsy, and remote seizures significantly correlated with epilepsy development, highlighting that seizures more than 30 days after the rupture pose a greater risk for long-term epilepsy
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Background: The ictal-interictal continuum (IIC) consists of several electroencephalogram (EEG) patterns that are common in critically ill adults. Studies focused on the IIC are limited in critically ill children and have focused primarily on associations with electrographic seizures (ESs). We report the incidence of the IIC in the pediatric intensive care unit (PICU).

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Background: Our objective was to assess the utility of the 1-h suppression ratio (SR) as a biomarker of cerebral injury and neurologic prognosis after cardiac arrest (CA) in the pediatric hospital setting.

Methods: Prospectively, we reviewed data from children presenting after CA and monitored by continuous electroencephalography (cEEG). Patients aged 1 month to 21 years were included.

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