Poblano Adrián, Gutiérrez Roberto
Clinic of Sleep Disorders, School of Medicine, National University of Mexico-General Hospital of Mexico, 06720 Mexico City, Mexico.
Arq Neuropsiquiatr. 2007 Sep;65(3A):576-80. doi: 10.1590/s0004-282x2007000400005.
To assess the contribution of neonatal electroencephalogram (EEG) and its correlation with the neurological examination at age of 9 months in newborns with bacterial neonatal meningitis.
Twenty seven infants were studied with positive cerebrospinal fluid (CSF) culture for bacteria. We used the worse EEG result during acute phase of meningitis, and performed neurologic follow-up after discharge from hospital. Background cerebral activity was classified as normal or mildly, moderately, or markedly abnormal. Neurologic examination outcomes was classified normal, mild abnormalities, moderate abnormalities and severe abnormalities.
EEG performed in the neonatal period during acute bacterial meningitis predicts adverse outcome early at age of 9 months, and had a significant correlation with cephalic perimeter and active tone alterations.
Neonatal EEG is useful for predicting abnormal outcomes, especially cephalic perimeter and active tone abnormalities at 9 months of age in infants with bacterial neonatal meningitis.
评估新生儿细菌性脑膜炎患儿的新生儿脑电图（EEG）的作用及其与9个月大时神经学检查的相关性。
对27例脑脊液（CSF）细菌培养呈阳性的婴儿进行研究。我们采用脑膜炎急性期最差的脑电图结果，并在出院后进行神经学随访。背景脑电活动分为正常或轻度、中度或明显异常。神经学检查结果分为正常、轻度异常、中度异常和重度异常。
急性细菌性脑膜炎新生儿期进行的脑电图可早期预测9个月大时的不良预后，且与头围和主动肌张力改变显著相关。
新生儿脑电图有助于预测异常结局，尤其是细菌性新生儿脑膜炎患儿9个月大时的头围和主动肌张力异常。
