A method for predicting outcomes of serous meningitis in children

摘要

A method for predicting outcomes of serous meningitis in children by a comprehensive assessment of clinical and laboratory parameters, recording an electroencephalogram, characterized in that in the first 5 days of the disease, the bioelectrical activity of the brain is assessed using an electroencephalogram, the state of the sensory conductors of the brain by somatosensory evoked potentials with a frequency of stimulation of the median nerve 2, 4, 6, 8 Hz, then on day 16-21, the motor pathways are assessed using the transcranial magnetic stim method ulcers, use single stimuli with registration of the evoked motor response from the arms and legs, simultaneously facilitate the targeted muscle and control with the help of a surface electroneuromyogram, adjust the amplitude of the interference pattern to 1-2 mV, then conduct a comprehensive analysis of the data obtained and if an index is detected on the electroencephalogram the slow-wave activity of the theta rhythm is less than 15%, the amplitude of the cortical response of somatosensory neurons to high-frequency stimulation is reduced by 20-30%, with the amplitude of the cortex x motor responses with hands from 2-3.5 mV, with legs 1-1.5 mV - predict a favorable course with recovery, and if the index of the slow-wave activity of the theta rhythm is more than 15%, the amplitude of the cortical response of somatosensory neurons to high-frequency stimulation is reduced by 40-50%, with the amplitude of cortical motor responses according to TMSC from the hands of less than 2 mV, from the feet of less than 1 mV - recovery with functional impairment.