臨床的脳死判定後にＣｕｓｈｉｎｇ現象を認めた幼児例

• 榎 日出夫

  三菱水島病院小児神経科

書誌事項

タイトル別名

• A Case of a Child Who Developed Cushing Reflex after a Clinical Diagnosis of Brain Death

抄録

The author presents a case of brain death caused by salmonella encephalopathy in a 1-year-old girl. Thepatient suffered from fever, convulsive status, and coma. On the 5th day, her respiration was arrested. At that time, we confirmed the absence of brainstem reflexes. An electroencephalogram (EEG) showed a flat pattern. Only wave I was recordable in auditory brainstem responses (ABR). On the 6th day, we obtained a flat EEG and a disappearance of all components of ABR. A simultaneous elevation of her heart rate and blood pressure was observed 14 to 18 hours after the respiratory arrest. This phenomenon was equivalent to the Cushing reflex, which represents an autoregulation against increased intracranial pressure. Our case suggested that the activity of a part of the brainstem was preserved in spite of the absence of activities in EEG, ABR and brainstem reflexes at 14 hours after the onset of apnea.

収録刊行物

• 脳と発達

  脳と発達 39 (1), 27-31, 2007

  THE JAPANESE SOCIETY OF CHILD NEUROLOGY

キーワード

• 小児
• 脳死判定
• サルモネラ脳症
• Cushing現象
• 聴性脳幹反応

詳細情報

• CRID: 1390001204554231168
• NII論文ID: 130004183825
• NII論文ID: 10018714388
• NII書誌ID: AN0020232X
• DOI: 10.11251/ojjscn1969.39.27
• ISSN: 18847668
• ISSN: 00290831
• Web Site: https://search.jamas.or.jp/link/ui/2007118453
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可