INTRODUCTION: Clinical features of burn encephalopathy in children are not investigated thoroughly.

METHODS: Type of study: case series, 44 patients. Inclusion criteria: boys (n=25) or girls (n=19) between the age of 7 month and 13 y.o. with neurological signs, which developed during 0-7 days after burn trauma have occurred.

RESULTS: The average age was 2,9 y.o., the average square of burned area was 28% (varied from 10% to 80%), 19 (43,2%) had II, 16 (36,4%) had III grade of severity. The majority of patients were admitted from countryside 35 (75%), 25 (56,8%) had HIE in their perinatal history. All children were admitted to ICU, were taken on ALV (n=11, 25% on average 9,5 days), took more than 2 operations and were treated for burn shock in 36 (81,8%) and SIRS in 33 (70,5%) cases. In the burns unit patients required wound dressing under the intravenous anesthesia (3,4±1,2 times on 25-45 minutes), had fresh frozen plasma and blood components’ transfusions in 35 (75,0%) cases. We identified brisk of tendon jerks 24 (54,5%), muscular hypotonia 7 (15,9%), tremor 10 (22,7%), nystagmus 7 (15,9%), seizures 3 (6,8%) in neurological assessment in those children.

CONCLUSION: So called burn encephalopathy in children stays a comprehensive issue, apparently depends on the square and severity of burn trauma as well as premorbid and social status. We consider the combination of iatrogenic factors to play the great role in this problem, such as the quality of urgent care, quantity of intravenous anesthesia, antibiotics and so on.