RT期刊文章SR电子T1效用急诊科的儿童神经影像学的改变精神状态(好- 9.005)摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP 2821 10.1212 / WNL。首页0000000000202820签证官100 17补充2 A1 Giovanni Castellucci A1卡米拉Ospina吉梅内斯A1 Birce Taskin A1阿拉娜Kistou A1 Kannikeswaran Nirupama A1 Lalitha Sivaswamy年2023 UL //www.ez-admanager.com/content/100/17_Su首页pplement_2/2821.abstract AB目的:描述神经影像学和脑电图的效用在现在的孩子到儿科急诊(PED)改变精神状态(AMS)。背景:AMS的鉴别诊断是广泛和辅助测试通常需要做出明确的诊断。神经影像学和脑电图的效用在AMS尚未深入研究。设计/方法:回顾性图表回顾0-18岁儿童谁提出的PED 1/1/2018 12/31/2021 AMS。我们的病人的人口统计,出现并发症,实验室和成像数据,PED的性格,最终诊断。神经影像学(CT和MRI)研究和脑电图分类为正常或异常。异常结果进一步归类为分摊到当前诊断,临床上重要但不分摊到当前诊断,和偶然。结果:我们分析了371例患者的图表。AMS的最常见的病因是偶然摄入(188年51%)。结构/解剖神经条件,癫痫作为潜在病因在十分之一(51。13.8%)。结论性的诊断不能达到58例(16%)。神经影像进行159年(43%)。 The most common was CT (150, 40%) followed by MRI (18, 5%) and 10 patients had both. The breakdown of neuroimaging abnormalities was as follows: contributed to the final diagnosis 18 (4.8%), clinically important but did not contribute to the diagnosis 22 (5.9%), and incidental findings 3 (0.8%). EEG was performed in 65 patients (17.5%) of which 23% had findings that contributed to the final diagnosis.Conclusions: Neuroimaging contributed to a definitive diagnosis in a minority of patients, whereas EEG contributed to diagnosis in about one fourth of the patients. Further studies are required to identify subsets of children with AMS who will benefit from directed neurological investigations.Disclosure: Dr. Castellucci has nothing to disclose. Dr. CENTER has received personal compensation for serving as an employee of Detroit Medical Center. Dr. Taskin has nothing to disclose. Ms. Kistou has nothing to disclose. The institution of Dr. Kannikeswaran has received research support from NIH. Dr. Sivaswamy has nothing to disclose.

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