This undoubtedly reduces the patient’s quality of life and increases the burden on the family and society.Īt present, the diagnosis and treatment of disorders of consciousness caused by severe brain injury are still very difficult, especially in children. 63% of UWS patients survived for more than 8 years. 24% of children in a persistent vegetative state after traumatic brain injury (TBI) regained consciousness after 3 months, while after 12 months, this proportion rose to 62%.
![eeg for kids eeg for kids](https://hannahtopia.com/wp-content/uploads/sites/14/2019/01/nillynogginbottom.png)
In the U.S., between 4,000 and 10,000 children each year suffer from a persistent vegetative state (now termed UWS). The incidence in children is particularly prominent due to a lack of self-protection awareness and the errors of parents or caregivers. 10 to 15% of patients (including adults and children) who survived the acute coma stage entered a state of prolonged disorders of consciousness (PDOC). The prevalence of UWS is between 0.2 and 3.4 per 100,000. After severe brain damage caused by trauma, patients may experience coma, unresponsive wakefulness syndrome (UWS), minimally conscious state (MCS), and long-term motor and cognitive impairment. The development of emergency and critical care medicine is changing rapidly. Interictal epileptiform discharges (IEDs) have a cumulative effect and seizures seriously affect the prognosis. The continuous increase of delta-band power indicates a poor prognosis. The pGCS and Gesell Developmental Schedule provided a comprehensive assessment of consciousness and mental development the weighted Phase Lag Index (wPLI ) in the β-band (13–25 Hz) can distinguish unresponsive wakefulness syndrome from minimally conscious state and confirm that the SON and MNS were effective.
![eeg for kids eeg for kids](https://www.bu.edu/cdl/files/2013/05/AMANDA-WIN_20141010_124018.jpg)
Growth and development were deemed appropriate for the age of the child.
![eeg for kids eeg for kids](https://hannahtopia.com/wp-content/uploads/sites/14/2019/04/IMG_4994-e1559933187231-scaled.jpg)
At each appointment, recordings included the child’s height, weight, pediatric Glasgow Coma Scale (pGCS), Coma Recovery Scale-Revised (CRS-R), Gesell Developmental Schedule, computed tomography or magnetic resonance imaging, electroencephalogram, frequency of seizures, oral antiepileptic drugs, stimulation with subject’s own name (SON), and median nerve electrical stimulation (MNS). There is still no clear guidance on the diagnosis, treatment, and prognosis of children with disorders of consciousness. A 2-year-old girl, diagnosed with traumatic brain injury and epilepsy following car trauma, was followed up for 3 years (a total of 15 recordings taken at 0, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 14, 19, 26, and 35 months).