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

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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.

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Authors and Affiliations

  1. Department of Neurosurgery, University of Debrecen, Móricz Zs. krt. 22, Debrecen, Hungary

    Gábor Fekete, László Bognár & László Novák

Authors
  1. Gábor Fekete
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  2. László Bognár
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  3. László Novák
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Correspondence to Gábor Fekete.

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Fekete, G., Bognár, L. & Novák, L. D-wave recording during the surgery of a 10-month-old child. Childs Nerv Syst 30, 2135–2138 (2014). https://doi.org/10.1007/s00381-014-2503-7

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  • DOI: https://doi.org/10.1007/s00381-014-2503-7

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