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

Childs Nerv Syst. 2014 Dec;30(12):2135-8. doi: 10.1007/s00381-014-2503-7. Epub 2014 Jul 25.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Cervical Vertebrae / surgery
  • Cysts / physiopathology
  • Cysts / surgery*
  • Decompression, Surgical
  • Electric Stimulation
  • Electromyography*
  • Evoked Potentials, Motor / physiology*
  • Feasibility Studies
  • Female
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Monitoring, Intraoperative*
  • Neural Tube Defects / physiopathology
  • Neural Tube Defects / surgery*
  • Pyramidal Tracts / physiopathology*
  • Spinal Cord / physiopathology*
  • Spinal Cord / surgery*
  • Spinal Cord Diseases / physiopathology
  • Spinal Cord Diseases / surgery*
  • Thoracic Vertebrae / surgery