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In
pediatric cases, one has to follow the same general
guidelines, but with some necessary modifications described
below, according to age.
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In infants aged seven days to two months, the observation period has
to be extended to 48 hours, during -which two EEGs
are taken separated by an interval of 48 hours, both
showing electrocerebral silence, i.e., two
recordings showing no cerebral activity, one at the
beginning of the observation period and another at
the end (Table 1).
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In
infants from two months to one year, an observation
period of 24 hours is necessary.
The confirmation should be done by two EEGs
separated by 24 hours showing electro-cerebral
silence in both, or one EEG with electrocerebral
silence and one cerebral radionucleide angiography
(dynamic isotope brain scan) showing no arterial
blood flow to the brain.
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For children over one year of age, the protocol is not different from
that for adults except that the observation period
should not be less than 12 hours.
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After puberty, protocol for the adult is to be followed.
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