Table 1

Clinical and laboratory features of children who had ICP monitoring

Patient NoAge (months)Pattern of intracranial hypertension1-150 Duration
of coma
before ICP
monitoring
(hours)
On admissionDuring admissionOn
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 hypoglycaemiaClinically detected seizures1-154 Brain stem deterioration1-152 (hours after treatment)Computed tomography1-155 Duration of coma (hours)
124MIH52, 3, 2No3090349.7NonePM × 5NoN12None
221MIH192, 3, 4No49 742496.2NoneNoneNoN39None
371MIH402, 4, 2No3848605.8NoneS-GTC3677None
435MIH471, 3, 1Yes242 880699.6NoneNone18N68None
577MIH442, 3, 4No80 340832.7NoneGTC × 11949None
626MIH102, 3, 2No800 000499.1NonePM × 6, PBG × 1No37None
726MIH42, 3, 2No12 4023311.2NonePM × 11, PBG × 5NoN56None
869MIH62, 3, 2Yes3196812.6NoneGTC × 3NoN41None
917MIH442, 3, 1Yes1377832.0NoneNone7N96Mild
1019MIH172, 3, 2No36 58043NoneS-PM11N48None
1181IIH242, 3, 2Yes12001101.1NoneS-GTC19, 36N87Mild
1251IIH152, 3, 4No45 144862.2NoneNone6N36None
1336IIH62, 3, 2No739 200522.2NoneNoneNo32None
1423IIH423, 4, 4No10 5353111.1NonePM × 10, PBG × 51090None
1540IIH532, 3, 2No3060831.4NonePM × 22696None
1653IIH162, 4, 3No9200505.1NonePM × 4NoBS36None
1784IIH162, 3, 2No15 200810.9NoneS-GTCNoN18None
1824IIH252, 3, 3Yes4293483.9NonePBG × 2NoN44None
1942IIH752, 3, 2No1 108 8001111.9A1-153 + 1GTC × 212, 40BS120None
2024SIH132, 3, 2No92 520608.2NA1-153 + 1GTC × 46, 24BS + H> 140Severe
2130SIH251, 3, 1Yes37 2691323.4A1-153 + 4PM × 115BS + H> 140Severe
2235SIH122, 2, 2Yes842995.4A1-153 + 1None9Died
2336SIH161, 1, 1Yes310 200548.9NoneNone18, 23, 24Died
  • 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.