Sensory nerve conduction studies in infants, children and teenagers - An update

Tom Frenzel; Anne-Katrin Baum; Hardy Krause; Christoph Arens; Aiden Haghikia; Imke Galazky

doi:10.1016/j.cnp.2024.01.001

Sensory nerve conduction studies in infants, children and teenagers - An update

Clin Neurophysiol Pract. 2024 Jan 8:9:63-68. doi: 10.1016/j.cnp.2024.01.001. eCollection 2024.

Authors

Tom Frenzel¹, Anne-Katrin Baum¹, Hardy Krause², Christoph Arens^{3

4}, Aiden Haghikia¹, Imke Galazky¹

Affiliations

¹ Dept. of Neurology, Otto-von-Guericke University, Magdeburg, Germany.
² Dept. of Pediatric Surgery, Otto-von-Guericke University, Magdeburg, Germany.
³ Dept. of Otorhinolaryngology, Otto-von-Guericke University, Magdeburg, Germany.
⁴ Dept. of Otorhinolaryngology, Justus-Liebig University, Giessen, Germany.

Abstract

Objective: Nerve conduction studies (NCS) in children remain technically challenging and depend on the cooperation of the child. Motor NCS are not compromised by analgosedation but data for sensory NCS are lacking. Here, we ask whether sensory NCS is influenced by analgosedation. We also compare the present data with NCS studies from the 1990s regarding anthropometric acceleration of the contemporary paediatric population.

Methods: Sensory NCS of the median nerve and sural nerve were performed in 182 healthy subjects aged 1 to 18 years during general anaesthesia and in 47 of them without analgosedation.

Results: Sensory NCS was not influenced by midazolam or propofol. The sensory nerve action potential (SNAP) amplitude and the nerve conduction velocity (NCV) of the sural nerve as well as the SNAP of the median nerve show no significant age dependence in age range 1-18 years. The sensory NCV of the median nerve increased age-dependent.

Conclusions: In clinical practice, analgosedation can be used for diagnostic NCS. Sensory NCS data show no relevant secular trend over the last 30 years. Differences due to technical inconsistency predominate.

Significance: Analgosedation can improve diagnostic quality of sensory NCS in children. Additionally, we provide sensory NCS values from a large pediatric cohort.

Keywords: Acceleration; Analgosedation; Children; Reference values; Sensory nerve conduction study.