患有声麻的儿童的神经生理学评估:第三级中心的经验
Roberto D'Agostino1, Tommaso Cacco1, Ivana Fiz1
1Otorhinolaryngology Unit, IRCCS Institute G. Gaslini, Genoa, Italy.
The Laryngoscope
|September 24, 2024
概括
这项研究评估了儿童声麻,使用皮质球膜运动唤起的潜能 (Co-MEPs) 和喉电肌图 (L-EMG). 结果将患者的特征与电生理学结果相关联,有助于理解儿童的VFP.
科学领域:
- 儿科神经学 儿科神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经生理学 神经生理学
背景情况:
- 儿童声麻 (VFP) 带来了独特的诊断挑战.
- 电生理学评估对于评估VFP中的神经完整性至关重要.
- 了解患者因素与电生理学发现之间的相关性对于管理至关重要.
研究的目的:
- 评估使用Co-MEPs和L-EMG在儿科VFP中的喉电生理学评估的实用性.
- 为了将电生理学发现与患者特征,并发症和VFP病因相关联.
- 报告儿童VFP病例中使用这些技术获得的经验.
主要方法:
- 患有疑似或确诊的VFP的儿科患者在全身麻醉下进行了电生理学记录.
- 记录了皮质球膜运动唤起的潜力 (Co-MEPs).
- 进行了甲状腺 (TA) 和后部状腺 (PCA) 肌肉的喉电动图 (L-EMG).
主要成果:
- 早期妊娠年龄与TA和PCA肌肉强度有显著的相关性.
- 气管切除术的存在与TA和PCA肌肉强度有显著的相关性.
- 遗传异常与TA和PCA肌肉强度和延迟有关.
- 先天性VFP呈现与增加的TA肌肉强度和延迟相关.
- TA和PCA肌肉强度显著相关.
结论:
- 术内Co-MEPs和L-EMG是评估儿童VFP中TA和PCA肌肉的运动通路的补充工具.
- 这些电生理学方法有助于评估VFP中涉及的神经结构的功能完整性.
- 需要进行进一步的研究,以确定这些评估对声流动性恢复和潜在的脱声的预测价值.
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