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phenobarbital and Kernicterus

phenobarbital has been researched along with Kernicterus in 24 studies

Phenobarbital: A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
phenobarbital : A member of the class of barbiturates, the structure of which is that of barbituric acid substituted at C-5 by ethyl and phenyl groups.

Kernicterus: A term used pathologically to describe BILIRUBIN staining of the BASAL GANGLIA; BRAIN STEM; and CEREBELLUM and clinically to describe a syndrome associated with HYPERBILIRUBINEMIA. Clinical features include athetosis, MUSCLE SPASTICITY or hypotonia, impaired vertical gaze, and DEAFNESS. Nonconjugated bilirubin enters the brain and acts as a neurotoxin, often in association with conditions that impair the BLOOD-BRAIN BARRIER (e.g., SEPSIS). This condition occurs primarily in neonates (INFANT, NEWBORN), but may rarely occur in adults. (Menkes, Textbook of Child Neurology, 5th ed, p613)

Research Excerpts

ExcerptRelevanceReference
"Sodium phenobarbital and various hormones, compounds capable of hepatic enzyme induction, were given to an infant boy with congenital, nonhemolytic, unconjugated, hyperbilirubinemia and severe kernicterus for prolonged periods between the ages of 2 and 25 months to determine their effect on serum bilirubin concentrations."7.65Effect of sodium phenobarbital on bilirubin metabolism in an infant with congenital, nonhemolytic, unconjugated hyperbilirubinemia, and kernicterus. ( Crigler, JF; Gold, NI, 1969)
"A 37-year-old mother with CNS type II was treated with phenobarbital during her pregnancy and her bilirubin levels were monitored."4.85Pregnancy outcome in maternal Crigler-Najjar syndrome type II: a case report and systematic review of the literature. ( Koelbl, H; Kohlschmidt, N; Passuello, V; Puhl, AG; Skala, C; Steiner, E; Wirth, S, 2009)
"An understanding of the pathophysiologic factors causing kernicterus, the determination of infants at greatest risk for developing kernicterus, even the cornerstone of therapy for kernicterus--controlling the bilirubin level--are in a current (and continuous) state of revision."4.76Kernicterus 1980: problems and practices viewed from the perspective of the practicing clinician. ( Harper, RG; Kierney, CM; Sia, CG, 1980)
" The limited bilirubin binding capacity of human serum albumin, and the fact that kernicterus can occur once the serum unconjugated bilirubin concentration exceeds this capacity, makes the assessment of non-albumin bound free bilirubin valuable in cases of severe neonatal hyperbilirubinemia."3.65The albumin binding of unconjugated bilirubin in serum. ( Dextraze, P; Diamond, I; Griffiths, WC, 1975)
"Sodium phenobarbital and various hormones, compounds capable of hepatic enzyme induction, were given to an infant boy with congenital, nonhemolytic, unconjugated, hyperbilirubinemia and severe kernicterus for prolonged periods between the ages of 2 and 25 months to determine their effect on serum bilirubin concentrations."3.65Effect of sodium phenobarbital on bilirubin metabolism in an infant with congenital, nonhemolytic, unconjugated hyperbilirubinemia, and kernicterus. ( Crigler, JF; Gold, NI, 1969)
""Kernicterus" is a term currently used to describe bilirrubin induced brain injury in the neuro-pathological studies."1.38[Neurological dysfunction induced by bilirrubin]. ( Campistol, J; Cazorla, AG; Cusí, V; Galvez, H; Iriondo, M; Málaga, I, 2012)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-199020 (83.33)18.7374
1990's1 (4.17)18.2507
2000's2 (8.33)29.6817
2010's1 (4.17)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Passuello, V1
Puhl, AG1
Wirth, S1
Steiner, E1
Skala, C1
Koelbl, H1
Kohlschmidt, N1
Campistol, J1
Galvez, H1
Cazorla, AG1
Málaga, I1
Iriondo, M1
Cusí, V1
Smits-Wintjens, VE1
Walther, FJ1
Lopriore, E1
Harper, RG1
Sia, CG1
Kierney, CM1
Jansen, PL1
Lathe, GH1
Gupta, JM1
McCrae, WM1
Griffiths, WC1
Diamond, I1
Dextraze, P1
Thomas, CR1
Jährig, K1
Stenger, R1
Meisel, P1
Scheig, R1
Mauer, AM1
Maisels, MJ1
Juszczyk, J1
Grauaug, A1
Windorfer, A1
Mihailova, K1
Pringsheim, W1
Wennberg, RP1
von Brücke, FT1
Ballowitz, L1
Natzschka, J1
Murano, G1
Di Toro, R1
Arias, IM1
Gartner, LM1
Cohen, M1
Ben-Ezzer, J1
Levi, AJ1
Crigler, JF1
Gold, NI1
Ertel, IJ1
Newton, WA1

Reviews

10 reviews available for phenobarbital and Kernicterus

ArticleYear
Pregnancy outcome in maternal Crigler-Najjar syndrome type II: a case report and systematic review of the literature.
    Fetal diagnosis and therapy, 2009, Volume: 26, Issue:3

    Topics: Adult; Bilirubin; Crigler-Najjar Syndrome; Female; Hearing Disorders; Humans; Infant; Infant, Newbor

2009
Rhesus haemolytic disease of the newborn: Postnatal management, associated morbidity and long-term outcome.
    Seminars in fetal & neonatal medicine, 2008, Volume: 13, Issue:4

    Topics: Albumins; Anemia, Neonatal; Cholestasis; Fluid Therapy; Humans; Hydrops Fetalis; Hyperbilirubinemia,

2008
Kernicterus 1980: problems and practices viewed from the perspective of the practicing clinician.
    Clinics in perinatology, 1980, Volume: 7, Issue:1

    Topics: Bilirubin; Brain Diseases; Exchange Transfusion, Whole Blood; Humans; Infant; Infant, Newborn; Kerni

1980
Diagnosis and management of Crigler-Najjar syndrome.
    European journal of pediatrics, 1999, Volume: 158 Suppl 2

    Topics: Animals; Bilirubin; Child; Crigler-Najjar Syndrome; Female; Humans; Kernicterus; Liver Transplantati

1999
Neonatal bilirubin metabolism in relation to jaundice.
    Clinics in endocrinology and metabolism, 1976, Volume: 5, Issue:1

    Topics: Agar; Animals; Bilirubin; Breast Feeding; Female; Humans; Hyperbilirubinemia; Infant, Newborn; Jaund

1976
[Pathogenesis of bilirubin encephalopathy and subsequent therapeutic consequences].
    Zentralblatt fur Gynakologie, 1989, Volume: 111, Issue:15

    Topics: Blood-Brain Barrier; Female; Humans; Infant, Newborn; Jaundice, Neonatal; Kernicterus; Phenobarbital

1989
Neonatal jaundice--prevention & management.
    Disease-a-month : DM, 1972

    Topics: Albumins; Bilirubin; Blood Transfusion, Intrauterine; Erythrocytes; Exchange Transfusion, Whole Bloo

1972
Bilirubin; on understanding and influencing its metabolism in the newborn infant.
    Pediatric clinics of North America, 1972, Volume: 19, Issue:2

    Topics: Bile Pigments; Bilirubin; Exchange Transfusion, Whole Blood; Female; Fetus; Heme; Humans; Hyperbilir

1972
[Effects of drugs and other biological and physical factors on bilirubin metabolism in man].
    Polski tygodnik lekarski (Warsaw, Poland : 1960), 1973, May-20, Volume: 28, Issue:21

    Topics: Animals; Antigens, Bacterial; Bilirubin; Depression, Chemical; Enzyme Induction; Fasting; Female; Fe

1973
What to do when the infant is jaundiced.
    Medical times, 1971, Volume: 99, Issue:11

    Topics: Animals; Bilirubin; Diagnosis, Differential; Erythroblastosis, Fetal; Erythropoiesis; Exchange Trans

1971

Other Studies

14 other studies available for phenobarbital and Kernicterus

ArticleYear
[Neurological dysfunction induced by bilirrubin].
    Neurologia (Barcelona, Spain), 2012, Volume: 27, Issue:4

    Topics: Age of Onset; Autopsy; Electroencephalography; Evoked Potentials, Auditory; Exchange Transfusion, Wh

2012
Neonatal jaundice.
    The Medical journal of Australia, 1977, May-14, Volume: 1, Issue:20

    Topics: Exchange Transfusion, Whole Blood; Humans; Infant, Newborn; Jaundice, Neonatal; Kernicterus; Phenoba

1977
Kernicterus in the newborn.
    Nursing times, 1976, Jul-15, Volume: 72, Issue:28

    Topics: Humans; Hyperbilirubinemia; Infant, Newborn; Kernicterus; Phenobarbital; Phototherapy

1976
The albumin binding of unconjugated bilirubin in serum.
    Clinical biochemistry, 1975, Volume: 8, Issue:4

    Topics: Adult; Bilirubin; Binding, Competitive; Charcoal; Dextrans; Humans; Kernicterus; Methods; Phenobarbi

1975
Routine phenobarbital for prevention of neonatal hyperbilirubinemia.
    Obstetrics and gynecology, 1976, Volume: 47, Issue:3

    Topics: Costs and Cost Analysis; Female; Hospitalization; Humans; Infant, Newborn; Jaundice, Neonatal; Kerni

1976
Neonatal jaundice.
    American family physician, 1974, Volume: 10, Issue:4

    Topics: Albumins; Bile Ducts; Bilirubin; Breast Feeding; Crigler-Najjar Syndrome; Erythroblastosis, Fetal; E

1974
The management of jaundice in the newborn.
    The Medical journal of Australia, 1972, Aug-12, Volume: 2, Issue:7

    Topics: Agar; Diagnosis, Differential; Erythroblastosis, Fetal; Exchange Transfusion, Whole Blood; Female; G

1972
[Does drug therapy increase the dangers of bilirubin encephalopathy during the newborn period?].
    Deutsche medizinische Wochenschrift (1946), 1973, Jun-22, Volume: 98, Issue:25

    Topics: Ampicillin; Bilirubin; Blood; Carbenicillin; Cephalothin; Child, Preschool; Colistin; Diazepam; Eryt

1973
[Luminal therapy in the prevention of icterus of the newborn caused by Rh incompatibility].
    Wiener medizinische Wochenschrift (1946), 1970, May-02, Volume: 120, Issue:18

    Topics: Bilirubin; Endoplasmic Reticulum; Enzyme Induction; Erythroblastosis, Fetal; Female; Humans; Infant,

1970
[Hyperbilirubinemia in newborn infants. Experimental principles of phototheray and enzyme induction].
    Padiatrie und Padologie, 1971, Volume: 6, Issue:4

    Topics: Animals; Bilirubin; Enzyme Induction; Female; Humans; Infant, Newborn; Jaundice, Neonatal; Kernicter

1971
[On the "rebound" of bilirubin in the newborn after exchange transfusion].
    La Pediatria, 1969, Volume: 77, Issue:5

    Topics: Bilirubin; Brain Diseases; Erythroblastosis, Fetal; Exchange Transfusion, Whole Blood; Female; Human

1969
Chronic nonhemolytic unconjugated hyperbilirubinemia with glucuronyl transferase deficiency: evidence for genetic heterogeneity.
    Transactions of the Association of American Physicians, 1968, Volume: 81

    Topics: Adolescent; Adult; Bile; Bilirubin; Child; Child, Preschool; Female; Genes, Dominant; Genes, Recessi

1968
Effect of sodium phenobarbital on bilirubin metabolism in an infant with congenital, nonhemolytic, unconjugated hyperbilirubinemia, and kernicterus.
    The Journal of clinical investigation, 1969, Volume: 48, Issue:1

    Topics: Bilirubin; Carbon Isotopes; Crystallization; Growth Hormone; Humans; Hyperbilirubinemia, Hereditary;

1969
Therapy in congenital hyperbilirubinemia: phenobarbital and diethylnicotinamide.
    Pediatrics, 1969, Volume: 44, Issue:1

    Topics: Bilirubin; Child; Child, Preschool; Female; Humans; Hyperbilirubinemia, Hereditary; Infant; Infant,

1969