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Prediction of chronic Vegetative State in children using evoked potentials

Departments of Neurology (Drs. Frank and Etheridge) and Pediatrics (Drs. Frank, Furgiuele, and Etheridge), Eastern Virginia Medical School and Children's Hospital of the King's Daughters, Norfolk. VA.

Absence of median nerve vertex referenced parietal somatosensory evoked potentials with preservation of the brainstem auditory evoked potential correlated with loss of cortical function and preservation of brainstem function in five children sustaining hypoxic insults who developed a chronic vegetative state. Evoked potential studies were more reliable than either the clinical exam or EEG, which were often misleadingly optimistic in prediction of outcome.

Address correspondence and reprint requests to Dr. Frank, Department of Neurology, Eastern Virginia Medical School, 855 W. Brambleton Avenue, Norfolk, VA 23510.

Presented in part at the thirty-fourth annual meeting of the American Academy of Neurology, Washington, DC, April 1982.

Accepted for publication October 13, 1984.

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