TY - JOUR
T1 - Lowering of Intracranial Pressure in Reye's Syndrome by Sensory Stimulation
AU - Pollack, Louis D.
AU - Goldstein, Gary W.
PY - 1981/3/19
Y1 - 1981/3/19
N2 - To the Editor: In Reye's syndrome, elevations of intracranial pressure (ICP) are often accompanied by acute neurologic deterioration, and many current treatment protocols use continuous ICP monitoring to determine the need for osmotic diuresis, hyperventilation, hypothermia, and barbiturate administration.1 Other investigators have found that noxious stimulation can produce acute elevations of ICP, even in deeply comatose patients.2 Having also observed this deleterious effect, we tested the ability of gentle tactile and auditory stimulation to decrease ICP in seven comatose patients, four to 15 years of age, with Reye's syndrome. According to the Lovejoy clinical criteria, 3 five patients were in Stage. . .
AB - To the Editor: In Reye's syndrome, elevations of intracranial pressure (ICP) are often accompanied by acute neurologic deterioration, and many current treatment protocols use continuous ICP monitoring to determine the need for osmotic diuresis, hyperventilation, hypothermia, and barbiturate administration.1 Other investigators have found that noxious stimulation can produce acute elevations of ICP, even in deeply comatose patients.2 Having also observed this deleterious effect, we tested the ability of gentle tactile and auditory stimulation to decrease ICP in seven comatose patients, four to 15 years of age, with Reye's syndrome. According to the Lovejoy clinical criteria, 3 five patients were in Stage. . .
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U2 - 10.1056/NEJM198103193041217
DO - 10.1056/NEJM198103193041217
M3 - Letter
C2 - 7464873
AN - SCOPUS:0019884251
VL - 304
JO - New England Journal of Medicine
JF - New England Journal of Medicine
SN - 0028-4793
IS - 12
ER -