D-wave recording during the surgery of a 10-month-old child

Purpose The purpose of this study is to evaluate the possibility of d-wave recording in very young patients during spinal cord surgery. Method A 10-month-old patient was operated on cystic intramedullary pathology and myelon tethering at level cervical VI. to thoracal III. During the surgical deteth...

Full description

Saved in:
Bibliographic Details
Published in:Child's nervous system 2014-12, Vol.30 (12), p.2135-2138
Main Authors: Fekete, Gábor, Bognár, László, Novák, László
Format: Article
Language:English
Subjects:
Case Report
Cervical Vertebrae - surgery
Cysts - physiopathology
Cysts - surgery
Decompression, Surgical
Electric Stimulation
Electromyography
Evoked Potentials, Motor - physiology
Feasibility Studies
Female
Humans
Infant
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Monitoring, Intraoperative
Neural Tube Defects - physiopathology
Neural Tube Defects - surgery
Neurosciences
Neurosurgery
Pyramidal Tracts - physiopathology
Spinal Cord - physiopathology
Spinal Cord - surgery
Spinal Cord Diseases - physiopathology
Spinal Cord Diseases - surgery
Thoracic Vertebrae - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose The purpose of this study is to evaluate the possibility of d-wave recording in very young patients during spinal cord surgery. Method A 10-month-old patient was operated on cystic intramedullary pathology and myelon tethering at level cervical VI. to thoracal III. During the surgical detethering, we did d-wave recording for experimental purposes. After transcranial electric stimulation, we tried to detect the responses with epidural d-wave electrodes proximally and distally from the pathology. Results We found that proximally from the pathology, we could detect reproducible d-waves. Conclusion Though earlier papers reported that due to the immature condition of the myelon d-wave recording is not possible under the age of 21 months, we proved that even in very young patients, the possibility of d-wave recording should not be excluded.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-014-2503-7