Abstract
A patient with Reye syndrome is described in whom cerebral perfusion pressure was reduced to less than 5 mm Hg with loss of EEG activity. The intravenous administration of thiopentone reduced intracranial pressure and improved cerebral perfusion pressure with restoration of EEG and full recovery.
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Abbreviations
- ICP:
-
intracranial pressure
- EEG:
-
electroencephalograph
- CFM:
-
cerebral function monitor
- CPP:
-
cerebral perfusion pressure
- IAP:
-
intra-arterial pressure
References
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Glasgow JFT (1984) Clinical features and prognosis of Reye's syndrome. Arch Dis Child 59:230–235
Hall S, Bellman M (1984) Reye's syndrome in the British Isles: first annual report of the joint British Paediatric Association and Communicable Disease Surveillance Centre surveillance scheme. Br Med J 288:548–550
Mayer T, Walker ML (1982) Emergeney intracranial pressure monitoring in pediatrics. Clin Pediatr 21:391–396
McWilliam RC, Stephenson JBP (1984) A rapid bedside method for monitoring intracranial pressure. Lancet ii:73–75
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McWilliam, R.C., Stephenson, J.B.P. Life-threatening intracranial hypertension in reye's syndrome treated with intravenous thiopentone. Eur J Pediatr 144, 383–384 (1985). https://doi.org/10.1007/BF00441783
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DOI: https://doi.org/10.1007/BF00441783