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D-wave recording during the surgery of a 10-month-old child
Gábor Fekete1, László Bognár, László Novák
1Department of Neurosurgery, University of Debrecen, Móricz Zs. krt. 22, Debrecen, Hungary, drfekete@icloud.com.
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.