Patient No | Age (months) | Pattern of intracranial hypertension1-150 | Duration of coma before ICP monitoring (hours) | On admission | During admission | On discharge (CNS sequelae1-160) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Adelaide coma scale (V, M, E)1-151 | Brain stem signs1-152 | Parasite count (per μl) | Haemoglobin (g/l) | Lactate (mmol/l) | Episodes of hypoglycaemia | Clinically detected seizures1-154 | Brain stem deterioration1-152 (hours after treatment) | Computed tomography1-155 | Duration of coma (hours) | ||||||
1 | 24 | MIH | 5 | 2, 3, 2 | No | 3090 | 34 | 9.7 | None | PM × 5 | No | N | 12 | None | |
2 | 21 | MIH | 19 | 2, 3, 4 | No | 49 742 | 49 | 6.2 | None | None | No | N | 39 | None | |
3 | 71 | MIH | 40 | 2, 4, 2 | No | 3848 | 60 | 5.8 | None | S-GTC | 36 | — | 77 | None | |
4 | 35 | MIH | 47 | 1, 3, 1 | Yes | 242 880 | 69 | 9.6 | None | None | 18 | N | 68 | None | |
5 | 77 | MIH | 44 | 2, 3, 4 | No | 80 340 | 83 | 2.7 | None | GTC × 1 | 19 | — | 49 | None | |
6 | 26 | MIH | 10 | 2, 3, 2 | No | 800 000 | 49 | 9.1 | None | PM × 6, PBG × 1 | No | — | 37 | None | |
7 | 26 | MIH | 4 | 2, 3, 2 | No | 12 402 | 33 | 11.2 | None | PM × 11, PBG × 5 | No | N | 56 | None | |
8 | 69 | MIH | 6 | 2, 3, 2 | Yes | 3196 | 81 | 2.6 | None | GTC × 3 | No | N | 41 | None | |
9 | 17 | MIH | 44 | 2, 3, 1 | Yes | 1377 | 83 | 2.0 | None | None | 7 | N | 96 | Mild | |
10 | 19 | MIH | 17 | 2, 3, 2 | No | 36 580 | 43 | — | None | S-PM | 11 | N | 48 | None | |
11 | 81 | IIH | 24 | 2, 3, 2 | Yes | 1200 | 110 | 1.1 | None | S-GTC | 19, 36 | N | 87 | Mild | |
12 | 51 | IIH | 15 | 2, 3, 4 | No | 45 144 | 86 | 2.2 | None | None | 6 | N | 36 | None | |
13 | 36 | IIH | 6 | 2, 3, 2 | No | 739 200 | 52 | 2.2 | None | None | No | — | 32 | None | |
14 | 23 | IIH | 42 | 3, 4, 4 | No | 10 535 | 31 | 11.1 | None | PM × 10, PBG × 5 | 10 | — | 90 | None | |
15 | 40 | IIH | 53 | 2, 3, 2 | No | 3060 | 83 | 1.4 | None | PM × 2 | 26 | — | 96 | None | |
16 | 53 | IIH | 16 | 2, 4, 3 | No | 9200 | 50 | 5.1 | None | PM × 4 | No | BS | 36 | None | |
17 | 84 | IIH | 16 | 2, 3, 2 | No | 15 200 | 81 | 0.9 | None | S-GTC | No | N | 18 | None | |
18 | 24 | IIH | 25 | 2, 3, 3 | Yes | 4293 | 48 | 3.9 | None | PBG × 2 | No | N | 44 | None | |
19 | 42 | IIH | 75 | 2, 3, 2 | No | 1 108 800 | 111 | 1.9 | A1-153 + 1 | GTC × 2 | 12, 40 | BS | 120 | None | |
20 | 24 | SIH | 13 | 2, 3, 2 | No | 92 520 | 60 | 8.2 | NA1-153 + 1 | GTC × 4 | 6, 24 | BS + H | > 140 | Severe | |
21 | 30 | SIH | 25 | 1, 3, 1 | Yes | 37 269 | 132 | 3.4 | A1-153 + 4 | PM × 1 | 15 | BS + H | > 140 | Severe | |
22 | 35 | SIH | 12 | 2, 2, 2 | Yes | 842 | 99 | 5.4 | A1-153 + 1 | None | 9 | — | — | Died | |
23 | 36 | SIH | 16 | 1, 1, 1 | Yes | 310 200 | 54 | 8.9 | None | None | 18, 23, 24 | — | — | Died |
↵1-150 Patterns of intracranial hypertension defined in the text: MIH = mild, IIH = intermediate, SIH = severe.
↵1-151 Adelaide coma scale: V = verbal, M = motor, E = eye opening.
↵1-152 Brain stem signs: one or more of the following signs: pupillary dilation + sluggish response to light, absent corneal reflexes, minial or absent oculocephalic reflexes, decerebrate posturing.
↵1-154 Seizures: GTC = generalised tonic-clonic, PM = partial motor, S = status, PBG = partial becoming generalised.
↵1-155 Computed tomography appearances: BS = brain swelling as defined by loss of sulci and fissures, with small ventricles and narrow basal cisterns; H = generalised hypodensity, N = normal.
↵1-160 CNS = central nervous system.
↵1-153 A = on admission, NA = not on admission.