This report is based on the observation of 206 children with increased intracranial pressure at the Department cf Pediatrics cf Nagasaki University from January 1965 to December 1970.
1) The subject were 9% cf the total admission number during that period.
2) Etiologically, the 206 patients consist of 50 cases cf sercus meningitis, 33 of bacterial menigitis, 27 of encephalitis, 26 of intracranial bleedings and head injuries, 24 cf brain tumor, 24 cf acute encephalopathy, 9 of acute infantile hemiplegia, 3 of cerebro-vascular disorder, 3 of hydrccephalus, 3 of benign intracranial hypertension and 1 of leukemic meningitis.
3) The onset was more frequent at a younger age. The infant group occupied 75. 2 % of all subjects.
4) The pathogenetic factors of acute brain edema concerned mostly hyperthermia, fluid and elektrolyte metabolism, acid-base equilibrium, adreno-cortical function, liver function and the function of autonomic nervous system.
5) Three cases of acute brain edema with liver dysfunction-Reye syndrome, acute encephalcpathy following relatively minor burns and hepatic encephalcpathy-were reported. The metabolic disturbances caused by liver dysfunction might be the main pathogenetic factor cf acute brain edema in childhood.
6) From this point cf view, we discussed several problems concerning the mechanism cf acute brain edema in childhood.
7) From the analysis cf the relationship between the under living diseases and mechanisms cf acute brain edema, we discussed its treatment presenting a case of Reye syndrome successfully treated.
8) In view of a remarkable advance in developmental biology and pediatric neurology, further studies on the treatment of acute brain edema in childhood are to be expected.
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