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Narcosis for Neuroradiologic Procedures in Children
GERHARD NELLHAUS, MD;
ABE CHUTORIAN, MD
Arch Neurol. 1964;10(5):485-496.
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Since pneumoencephalography was first performed in infants by Dandy1 in 1918 and cerebral angiography in an 11-year-old girl by Moniz2 in 1928 many clinical and technical aspects of these procedures in children have been frequently discussed, but the method of narcosis for these studies has received little critical attention. In adults sedation is usually preferred, but for infants and children general anesthesia is advocated to secure proper positioning and lack of motion during filming. In recent years, however, the wide use of heavy sedation for cardiac catheterization has encouraged its trial in the performance of neuroradiologic procedures in children. Based on the experience of a large pediatric neurology service, this report seeks to assess in a retrospective study the comparative value of general anesthesia and heavy sedation as methods of narcosis for pneumoencephalography and cerebral angiography in children.
Material
The studies on which this report is based were
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK
From the Department of Neurology (Division of Child Neurology) College of Physicians and Surgeons, Columbia University and the Neurological Institute, Presbyterian Hospital, New York.
Footnotes
Submitted for publication Dec 7, 1963; accepted Dec 27.
Present address (Dr. Nellhaus): University of Illinois, College of Medicine, Department of Pediatrics and Neurology and Neurological Surgery, 840 South Wood Street, Chicago, Ill 60612.
This work was supported in part by special traineeships BT468 (Dr. Nellhaus) and BT619 (Dr. Chutorian) from the National Institute of Neurological Diseases and Blindness, United States Public Health Service.
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