NEUROLOGIC OUTCOMES IN CHILDREN WITH POST-PUMP CHOREOATHETOSIS

Eleven children who had post-pump choreoathetosis develop after cardio pulmonary bypass were evaluated in their perioperative course to deter mine factors that may correlate with their neurologic outcome, Results showed that preoperative cyanosis is associated with the development of a basal ganglia lesion. hn acquired basal ganglia lesion and preope rative cyanosis are associated with persistence of post-pump choreoath etosis. The combination of cyanotic heart disease and a scan-identifie d basal ganglia lesion indicates a poor prognosis for the patient with persistent post-pump choreoathetosis. Also, the presence of total cir culatory arrest is associated with a decrease in developmental quotien t but not the persistence of post-pump choreoathetosis.