Neonatal intraoperative neuromonitoring in thoracic myelocystocele: a case report.
Childs Nerv Syst
; 36(2): 435-439, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-31709490
ABSTRACT
Thoracic myelocystocele are extremely rare, non-terminal, closed neural tube defects. Intraoperative neuromonitoring (IONM) is a mainstay of pediatric spinal surgery. However, in neonates and infants, incomplete myelination of the corticospinal tract presents unique challenges to successful use of IONM in this vulnerable patient population. Surgery can often be delayed until patients are older, but there are circumstances in which early intervention is necessary. We report a case of T6 myelocystocele resection and wound closure in an infant on day of life 15 with the use of IONM. To our knowledge, this is the youngest reported patient to undergo successful IONM in the spinal cord. Given that the majority of thoracic myelocystoceles present without any neurological deficits, early intervention for this rare closed spinal dysraphism is sometimes necessary. This case study reports the possibility of IONM use in neonatal patients and also highlights the techniques that make its use more possible.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Disrafismo Espinal
/
Meningomielocele
/
Monitorização Neurofisiológica Intraoperatória
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
Childs Nerv Syst
Assunto da revista:
NEUROLOGIA
/
PEDIATRIA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos