Successful Neonatal, Intraoperative Neuromonitoring in the Surgical Correction of a Thoracic Dermal Sinus Tract: Technical Note

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Pediatric Neurosurgery Pub Date : 2022-05-05 DOI:10.1159/000524924

Chidyaonga Shalita, Eric W. Sankey, Stephen M. Bergin, John McManigle, A. Buckley, R. Radtke, C. Torres, G. Dear, E. Thompson

引用次数: 0

Abstract

Introduction: Intraoperative neuromonitoring (IONM) is commonly used during surgery of the spine and spinal cord for early surveillance of iatrogenic injury to the central and peripheral nervous system. However, for infants and young children under 3 years of age, the use of IONM is challenging due to incomplete central and peripheral myelination. Case Presentation: We report a case of a T4-T6 dermal sinus tract (DST) that was resected on day of life 23, with the successful use of IONM. Conclusion: To our knowledge, this is the youngest reported case of the use of IONM in the surgical correction of a DST in a neonatal patient. This case demonstrates the potential efficacy of IONM in neonatal spine surgery and the techniques used to adapt the technology to an immature nervous system.

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成功的新生儿，术中神经监测手术纠正胸真皮窦道:技术说明

术中神经监测(IONM)是脊柱和脊髓手术中常用的一种方法，用于早期监测医源性中枢和周围神经系统损伤。然而，对于3岁以下的婴幼儿，由于中枢和外周髓鞘形成不完全，IONM的使用具有挑战性。病例介绍:我们报告一例T4-T6真皮窦道(DST)，在生命的第23天被切除，并成功使用IONM。结论:据我们所知，这是在新生儿DST手术矫正中使用IONM的最年轻病例。本病例证明了IONM在新生儿脊柱手术中的潜在疗效，以及将该技术应用于未成熟神经系统的技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Neurosurgery 医学-临床神经学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Articles in ''Pediatric Neurosurgery'' strives to publish new information and observations in pediatric neurosurgery and the allied fields of neurology, neuroradiology and neuropathology as they relate to the etiology of neurologic diseases and the operative care of affected patients. In addition to experimental and clinical studies, the journal presents critical reviews which provide the reader with an update on selected topics as well as case histories and reports on advances in methodology and technique. This thought-provoking focus encourages dissemination of information from neurosurgeons and neuroscientists around the world that will be of interest to clinicians and researchers concerned with pediatric, congenital, and developmental diseases of the nervous system.