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Somatosensory evoked potentials in very preterm infants
B J Smit1, B W Ongerboer de Visser, L S de Vries
1Department of Neonatology, Emma Children's Hospital Academic Medical Center, University of Amsterdam, H3N-148, P.O. Box 22700, 1100 DE, Amsterdam, The Netherlands. b.j.smit@amc.uva.nl
Objective:
Cross-sectional and longitudinal reference values of cortical N(1) peak latency of the median nerve SEP in very preterm infants.
Methods:
In infants in a placebo control group within an L-thyroxine supplementation trial, born at less than 30 weeks' gestation, cortical N(1) peak latency was measured at 2 weeks, at term and at 6 months corrected age. Cross-sectional N(1) latency values obtained in 50 infants and complete series of longitudinal values obtained in 15 infants were analyzed in relation to postmenstrual age (PMA).
Results:
Mean N(1) latency decreased from 66 ms at 2 weeks to 38 ms at term and 20 ms at 6 months corrected age. Possible confounding factors did not have any significant effect on N(1) latency at 2 weeks or at term age except cranial ultrasound abnormalities at 2 weeks of age.
Conclusions:
Longitudinal N(1) latency values were consistent with cross-sectional N(1) latency values. The observed N(1) latency at term and at 6 months corrected age suggest that extrauterine maturation of the somatosensory pathway in infants born at less than 30 weeks' gestation is delayed by extrauterine life.