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Intracranial pressure monitoring in children with fulminant hepatic failure

W.S. Paiva, A.F. de Andrade, R.L.O. Amorim, E.G. Figueiredo, H. Matushita, M.J. Teixeira [REV NEUROL 2009;48:134-136] PMID: 19206060 DOI: https://doi.org/10.33588/rn.4803.2008575

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Volumen 48 | Number 03 | Nº of views of the article 5.114 | Nº of PDF downloads 317 | Article publication date 01/02/2009

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ABSTRACT

INTRODUCTION We describe a series of 10 children with intracranial hypertension complicating fulminant hepatic failure submitted to intracranial pressure (ICP) monitoring for intensive care and transplantation management.

PATIENTS AND METHODS Information from pediatrics patients acute liver failure admitted to our hospital was collected in a standard protocol form. We analyzed data from 10 patients, medium age 5.2 years old. In this period we studied aspects as ICP transducer used, number of days with ICP monitoring and complications of ICP monitoring.

RESULTS Hepatitis A was diagnosed in five patients and hepatitis B in two cases. The initial ICP were 2 to 24 mmHg in transducer. Seven patients died, four due to intracranial hypertension, included the patient operated for subdural hematoma, and three with transplantation failure. Only a case of hematoma was verified.

CONCLUSIONS The application of ICP monitoring allows intensive care for aggressive ICP management. It can be used in children without adaptations. KeywordsBrain edema Coma Fulminant hepatic failure Hepatic encephalopathy Hepatitis Intracranial hypertension CategoriesNeuropediatría

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Intracranial pressure monitoring in children with fulminant hepatic failure