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May 1964

Narcosis for Neuroradiologic Procedures in Children

Author Affiliations

From the Department of Neurology (Division of Child Neurology) College of Physicians and Surgeons, Columbia University and the Neurological Institute, Presbyterian Hospital, New York.

Arch Neurol. 1964;10(5):485-496. doi:10.1001/archneur.1964.00460170055009

Since pneumoencephalography was first performed in infants by Dandy1 in 1918 and cerebral angiography in an 11-year-old girl by Moniz2 in 1928 many clinical and technical aspects of these procedures in children have been frequently discussed, but the method of narcosis for these studies has received little critical attention. In adults sedation is usually preferred, but for infants and children general anesthesia is advocated to secure proper positioning and lack of motion during filming. In recent years, however, the wide use of heavy sedation for cardiac catheterization has encouraged its trial in the performance of neuroradiologic procedures in children. Based on the experience of a large pediatric neurology service, this report seeks to assess in a retrospective study the comparative value of general anesthesia and heavy sedation as methods of narcosis for pneumoencephalography and cerebral angiography in children.

Material  The studies on which this report is based were

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