This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Thoru Yamada, MD; Nelson Stevland, MD; Jun Kimura, MD

Arch Neurol. 1979;36(4):225-227.

Abstract
• An EEG of a two-year-old child with Reye's syndrome complicated by prolonged hypoglycemia showed continuous, diffusely distributed, 8- to 9-Hz, well-modulated alpha activity while the patient was comatose. Continuous monitoring of EEG showed gradual reduction of alpha activity and the appearance of moderate-amplitude delta waves within the next 18 hours. Subsequent EEGs showed electrocerebral silence. The EEG features and their evolution resembled those described in postanoxic "alphapattern coma" in adults. A diffuse cortical-subcortical insult, possibly due to hypoglycemia, may be responsible for the generation of diffuse alpha activity in our case. Because of its transient nature, immediate and serial EEG studies following the acute cerebral insult may be necessary to demonstrate this pattern in children.

Author Affiliations
From the Division of Clinical Electrophysiology, Department of Neurology, University of Iowa Hospitals, Iowa City.

Footnotes
Accepted for publication May 10, 1978.

Read in part before the Central Association of Electroencephalographers, Omaha, May 1978.

Reprint requests to Electroencephalographic Laboratories, University of Iowa Hospitals, Iowa City, IA 52242 (Dr Yamada).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Rhythmic Coma in Children
Horton et al.
J Child Neurol 1990;5:242-247.
ABSTRACT  

Alpha-Pattern Coma in Childhood and Adolescence
Lersch and Kaplan
Arch Neurol 1984;41:68-70.
ABSTRACT