keyword
https://read.qxmd.com/read/38614157/timing-of-intraoperative-neurophysiological-monitoring-ionm-recovery-and-clinical-recovery-after-termination-of-pediatric-spinal-deformity-surgery-due-to-loss-of-ionm-signals
#1
JOURNAL ARTICLE
Travis S CreveCoeur, Rajiv R Iyer, Hannah E Goldstein, Mychael W Delgardo, Todd C Hankinson, Mark A Erickson, Sumeet Garg, David L Skaggs, Lindsay Andras, Benjamin C Kennedy, Patrick J Cahill, Lawrence G Lenke, Peter D Angevine, Benjamin D Roye, Michael G Vitale, Anil Mendiratta, Richard C E Anderson
BACKGROUND CONTEXT: Intraoperative neurophysiological monitoring (IONM) is used to reduce the risk of spinal cord injury during pediatric spinal deformity surgery. Significant reduction and/or loss of IONM signals without immediate recovery may lead the surgeon to acutely abort the case. The timing of when monitorable signals return remains largely unknown. PURPOSE: The goal of this study was to investigate the correlation between IONM signal loss, clinical examination, and subsequent normalization of IONM signals after aborted pediatric spinal deformity surgery to help determine when it is safe to return to the operating room...
April 11, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38588993/an-international-multicenter-cohort-study-on-implantable-cardioverter-defibrillators-for-the-treatment-of-symptomatic-children-with-catecholaminergic-polymorphic-ventricular-tachycardia
#2
JOURNAL ARTICLE
Avani Lamba, Thomas M Roston, Puck J Peltenburg, Dania Kallas, Sonia Franciosi, Krystien V V Lieve, Prince J Kannankeril, Minoru Horie, Seiko Ohno, Ramon Brugada, Takeshi Aiba, Peter Fischbach, Linda Knight, Jan Till, Sit-Yee Kwok, Vincent Probst, David Backhoff, Martin J LaPage, Anjan S Batra, Fabrizio Drago, Kristina Haugaa, Andrew D Krahn, Tomas Robyns, Heikki Swan, Terezia Tavacova, Joseph Atallah, Martin Borggrefe, Boris Rudic, Georgia Sarquella-Brugada, Ehud Chorin, Allison Hill, Janneke Kammeraad, Anna Kamp, Ian Law, James Perry, Jason D Roberts, Svjetlana Tisma-Dupanovic, Christopher Semsarian, Jonathan R Skinner, Jacob Tfelt-Hansen, Isabelle Denjoy, Antoine Leenhardt, Peter J Schwartz, Michael J Ackerman, Arthur A M Wilde, Christian van der Werf, Shubhayan Sanatani
BACKGROUND: Catecholaminergic polymorphic ventricular tachycardia (CPVT) may cause sudden cardiac death (SCD) despite medical therapy. Therefore, implantable cardioverter defibrillators (ICDs) are commonly advised. However, there are limited data on the outcomes of ICD use in children. OBJECTIVE: To compare the risk of arrhythmic events in pediatric CPVT patients with and without ICDs. METHODS: We compared the risk of SCD in RYR2 variant and phenotype positive symptomatic CPVT patients with and without ICDs, who were <19 years of age and had no history of sudden cardiac arrest (SCA) at phenotype diagnosis...
April 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38557381/-different-concentrations-of-adapalene-induce-differentiation-and-apoptosis-of-sh-sy5y-cells
#3
JOURNAL ARTICLE
Na-Na Liu, Jun-Jiao Zhang, Fan Zhang, Cong-Ying Wu, Yu-Wu Jiang
OBJECTIVES: To investigate the effects of different concentrations of adapalene on the morphology and functions of neuroblastoma cell line SH-SY5Y, as well as its role in inducing cell differentiation and apoptosis. METHODS: SH-SY5Y cells were divided into control group, low concentration (0.1 μM and 1 μM) adapalene groups, and high concentration (10 μM) adapalene group. Time-lapse microscopy was used to observe the morphological changes of SH-SY5Y cells...
March 15, 2024: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://read.qxmd.com/read/38552167/transvenous-lead-advancement-in-pediatric-pacing-to-overcome-growth-induced-lead-straightening-and-stretching
#4
JOURNAL ARTICLE
Massimo Stefano Silvetti, Luigina Porco, Marta Campisi, Vincenzo Pazzano, Ilaria Tamburri, Fabio Anselmo Saputo, Giacomo Silvetti, Lucilla Ravà, Fabrizio Drago
BACKGROUND: The stretching of the lead caused by somatic growth may lead to complications (dislodgement, fracture, failure) of transvenous leads implanted in pediatric patients. Atrial loop and absorbable ligatures may prevent it. Periodical lead advancement with lead pushing from the pocket may be an option to growth-induced stretching. Our aim was to analyze retrospectively the outcome of periodical transvenous lead advancement in children with pacemaker (PM). METHODS: A procedure of lead advancement was performed in patients with a single-chamber PM implanted for isolated congenital complete atrioventricular block or sinus node dysfunction with growth-induced lead straightening/stretching...
March 29, 2024: Pacing and Clinical Electrophysiology: PACE
https://read.qxmd.com/read/38549445/motor-unit-number-estimation-via-mscanfit-mune-in-spinal-muscular-atrophy
#5
JOURNAL ARTICLE
Veria Vacchiano, Francesca Morabito, Claudia Faini, Giovanna Nocera, Riccardo Not, Gaia Scarpini, Martina Romagnoli, Antonella Pini, Rocco Liguori
INTRODUCTION/AIMS: MScanFit MUNE (MScanFit) is a novel tool to derive motor unit number estimates (MUNEs) from compound muscle action potential (CMAP) scans. Few studies have explored its utility in 5q spinal muscular atrophy (SMA5q) patients, assessing only the abductor pollicis brevis (APB) muscle. We aimed to assess different distal muscles in pediatric and adult SMA5q patients, further evaluating clinical-electrophysiological correlations. METHODS: We analyzed MScanFit parameters reflecting the extent of denervation (MUNE; N50) and parameters of collateral reinnervation in APB, abductor digiti minimi (ADM), and tibialis anterior (TA) muscles...
March 29, 2024: Muscle & Nerve
https://read.qxmd.com/read/38529872/-neuropathy-in-n-hexane-poisoning
#6
JOURNAL ARTICLE
E S Druzhinina, A A Kozyreva, R T Bembeeva, A S Kozlovsky, V E Sokolova, I V Isaev, A G Narbutov, N N Zavadenko, O A Tikhonova
N-Hexane is a solvent widely used in manufacturing as a cleaner, degreaser and component of rubber cement. Chronic exposure to n -hexane either through contact with unprotected skin or inhalation can lead to the development of clinical symptoms and electrophysiological changes similar to those of inflammatory demyelinating polyneuropathy which requires careful differential diagnosis. This article presents three cases of severe predominantly motor polyneuropathy with demyelinating features in 15- and 16-year-old adolescents...
2024: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/38525359/age-associated-sleep-spindle-characteristics-in-duchenne-muscular-dystrophy
#7
JOURNAL ARTICLE
Katharine C Simon, Chelsea Cadle, Neal Nakra, Marni C Nagel, Paola Malerba
Brain oscillations of non-rapid eye movement sleep, including slow oscillations (SO, 0.5-1.5 Hz) and spindles (10-16 Hz), mirror underlying brain maturation across development and are associated with cognition. Hence, age-associated emergence and changes in the electrophysiological properties of these rhythms can lend insight into cortical development, specifically in comparisons between pediatric populations and typically developing peers. We previously evaluated age-associated changes in SOs in male patients with Duchenne muscular dystrophy (DMD), finding a significant age-related decline between 4 and 18 years...
2024: Sleep advances: a journal of the Sleep Research Society
https://read.qxmd.com/read/38521709/balancing-neuronal-activity-to-fight-neurodevelopmental-disorders
#8
JOURNAL ARTICLE
Stephanie Le, Carmen Menacho, Alessandro Prigione
In a recent study, Rylaarsdam and colleagues revealed that mutant PACS1 gene, which causes a rare neurodevelopmental syndrome, affects the firing ability of human neurons without dysregulating the cellular architecture of brain organoids. These findings suggest aberrant neuronal electrophysiology as a possible interventional target for pediatric diseases impairing brain development.
March 22, 2024: Trends in Neurosciences
https://read.qxmd.com/read/38499129/ablation-of-accessory-pathways-in-different-anatomical-locations-using-focal-pulsed-field-ablation
#9
JOURNAL ARTICLE
Toni Brešković, Lucija Lisica, Zrinka Jurišić, Davor Petrović, Ivan Sikirić, Vitomir Metličić, Ante Anić
BACKGROUND: Ablation of accessory pathways (AP) is cornerstone for treatment of patients with Wolff-Parkinson-White Syndrome and manifestation of atrioventricular reentry tachycardia. Pulsed field ablation (PFA) is a new type of non-thermal form of energy source delivered to the underlying tissue via the ablation catheter and used for ablation of arrhythmic substrates. OBJECTIVE: We present the efficiency and long-term outcome of ablation of APs of different localizations using a focal pulsed electrical field...
March 16, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38496670/functional-mapping-of-movement-and-speech-using-task-based-electrophysiological-changes-in-stereoelectroencephalography
#10
Michael A Jensen, Anthony Fine, Panagiotis Kerezoudis, Lily Wong Kisiel, Eva Alden, Dora Hermes, Kai J Miller
INTRODUCTION: Stereoelectroencephalography (sEEG) has become the predominant method for intracranial seizure localization. When imaging, semiology, and scalp EEG are not in full agreement or definitively localizing, implanted sEEG recordings are used to test candidate seizure onset zones (SOZs). Discovered SOZs may then be targeted for resection, laser ablation, or neurostimulation. If a SOZ is eloquent, resection and ablation are both contraindicated, so identifying functional representation is crucial for therapeutic decision making...
March 11, 2024: bioRxiv
https://read.qxmd.com/read/38487474/effect-of-chronic-prenatal-exposure-to-the-food-additive-titanium-dioxide-e171-on-respiratory-activity-in-newborn-mice
#11
JOURNAL ARTICLE
Eloïse Colnot, Julie O'Reilly, Didier Morin
Nanoparticles (NPs) possess unique properties that make their use valuable in all industries. Titanium dioxide (TiO2 ) NPs are extensively used as a white pigment in food (labeled under the European number E171) and personal care products, which creates a significant potential for chronic consumer exposure. Concerns about the potential toxic effects of TiO2 NPs have arisen, particularly in vulnerable populations, including pregnant women and infants. Recently, human materno-fetal transfer of E171 was demonstrated, and simultaneously, we reported that chronic prenatal exposure to reference P25 TiO2 NPs was found to alter the developing respiratory neural networks...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38465811/-modern-aspects-of-diagnosis-and-treatment-of-chronic-inflammatory-demyelinating-polyneuropathy-in-children
#12
JOURNAL ARTICLE
A A Kozyreva, R Ts Bembeeva, E S Druzhinina, N N Zavadenko, L M Kolpakchi, S V Pilia
OBJECTIVE: Analysis of demographic, clinical, laboratory, electrophysiological and neuroimaging data and pathogenetic therapy of pediatric patients with chronic inflammatory demyelinating polyneuropathy (CIDP). MATERIAL AND METHODS: Patients ( n =30) were observed in a separate structural unit of the Russian Children's Clinical Hospital of the Russian National Research Medical University named after. N.I. Pirogova Ministry of Health of the Russian Federation in the period from 2006 to 2023...
2024: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/38440119/without-enmg-detecting-pediatric-vincristine-neuropathy-is-a-challenge
#13
JOURNAL ARTICLE
Kreeta Viinikainen, Pirjo Isohanni, Jukka Kanerva, Tuula Lönnqvist, Leena Lauronen
OBJECTIVE: Vincristine, a widely used anticancer chemotherapy drug, may cause polyneuropathy (PNP), potentially resulting in permanent functional impairment. We characterized the occurrence and development of vincristine-induced neuropathy (VIPN) in early treatment of childhood leukemia. METHODS: This prospective study of 35 pediatric acute lymphoblastic leukemia (ALL) patients comprised systematic clinical and electrophysiological studies at both the time of diagnosis and at least one time point during the first months of treatment...
2024: Clinical Neurophysiology Practice
https://read.qxmd.com/read/38411709/x-ray-doses-in-relation-to-body-mass-indication-and-substrate-during-pediatric-electrophysiological-procedures-on-the-heart
#14
JOURNAL ARTICLE
Nikola Krmek, László Környei, Ivana Kralik, Diana Delić-Brkljačić, Milan Milošević, Mirta Rode, Flóra Kocsis, Vjekoslav Radeljić
The main goal of this study is to determine typical values of dose area product (DAP) and difference in the effective dose (ED) for pediatric electrophysiological procedures on the heart in relation to patient body mass. This paper also shows DAP and ED in relation to the indication, the arrhythmia substrate determined during the procedure, and in relation to the reason for using radiation. Organ doses are described as well. The subjects were children who have had an electrophysiological study done with a 3D mapping system and X-rays in two healthcare institutions...
February 27, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38409793/stereotactic-awake-basal-ganglia-electrophysiological-recording-and-stimulation-sabers-a-novel-staged-procedure-for-personalized-targeting-of-deep-brain-stimulation-in-pediatric-movement-and-neuropsychiatric-disorders
#15
JOURNAL ARTICLE
Mark A Liker, Terence D Sanger, Jennifer A MacLean, Jaya Nataraj, Enrique Arguelles, Mark Krieger, Aaron Robison, Joffre Olaya
Selection of targets for deep brain stimulation (DBS) has been based on clinical experience, but inconsistent and unpredictable outcomes have limited its use in patients with heterogeneous or rare disorders. In this large case series, a novel staged procedure for neurophysiological assessment from 8 to 12 temporary depth electrodes is used to select targets for neuromodulation that are tailored to each patient's functional needs. Thirty children and young adults underwent deep brain stimulation target evaluation with the new procedure: Stereotactic Awake Basal ganglia Electrophysiological Recording and Stimulation (SABERS)...
February 26, 2024: Journal of Child Neurology
https://read.qxmd.com/read/38409557/a-preliminary-study-on-the-spasticity-reduction-of-quadriceps-after-selective-dorsal-rhizotomy-in-pediatric-cases-of-spastic-cerebral-palsy
#16
JOURNAL ARTICLE
Wenbin Jiang, Li Zhang, Min Wei, Rui Wang, Bo Xiao, Junlu Wang, Qijia Zhan
OBJECTIVE: This study aimed to evaluate the potential alleviation of quadriceps spasticity in children diagnosed with spastic cerebral palsy (CP) following selective dorsal rhizotomy (SDR). METHODS: A retrospective study was conducted on children suffering from spastic CP who underwent SDR at the Department of Neurosurgery, Shanghai Children's Hospital, from July 2018 to September 2020. Inclusion criteria comprised children exhibiting quadriceps spasticity exceeding modified Ashworth Scale grade 2...
February 26, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38403237/diagnostic-approach-to-the-pediatric-brugada-syndrome-a-survey-of-international-common-practice
#17
JOURNAL ARTICLE
Christine Stratmann, Maria Cecilia Gonzalez Corcia
No abstract text is available yet for this article.
February 23, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38397281/continuous-spike-waves-during-slow-sleep-today-an-update
#18
REVIEW
Annio Posar, Paola Visconti
In the context of childhood epilepsy, the concept of continuous spike-waves during slow sleep (CSWS) includes several childhood-onset heterogeneous conditions that share electroencephalograms (EEGs) characterized by a high frequency of paroxysmal abnormalities during sleep, which have negative effects on the cognitive development and behavior of the child. These negative effects may have the characteristics of a clear regression or of a slowdown in development. Seizures are very often present, but not constantly...
January 28, 2024: Children
https://read.qxmd.com/read/38386924/evaluation-of-cardiac-electrophysiological-features-in-patients-with-premature-adrenarche
#19
JOURNAL ARTICLE
Kerem Ertaş, Özlem Gül, Ruken Yıldırım, Şervan Özalkak
OBJECTIVES: This study aimed to analyze the cardiac effects of hyperandrogenism in premature adrenarche (PA) and evaluate the risk of arrhythmia development. METHODS: Fifty patients with PA and 50 healthy children from a pediatric endocrinology outpatient clinic were included in the study. The patients underwent echocardiography and electrocardiographic evaluations. Conventional echocardiography, tissue Doppler echocardiography, repolarization time, and repolarization dispersion time were evaluated...
February 23, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/38382343/qtc-intervals-at-rest-and-during-exercise-assessed-by-group-correction-formulas-in-survivors-of-childhood-acute-lymphoblastic-leukemia
#20
JOURNAL ARTICLE
Émilie Bertrand, Maxime Caru, Audrey Harvey, Gregor Andelfinger, Caroline Laverdiere, Maja Krajinovic, Daniel Sinnett, Vincent Jacquemet, Daniel Curnier
INTRODUCTION: Early signs of subclinical cardiac damage must be identified before they turn into clinical manifestations. Tailoring a formula is relevant for precise QTc evaluation in childhood acute lymphoblastic leukemia (ALL) survivors considering they are at risk of long-term cardiac problems. Therefore, we aim to develop group heart rate correction formulas for QT intervals in childhood ALL survivors at rest and during exercise, and to assess the applicability of these methods across a variety of risk groups exposed to diverse chemotherapy dosages...
February 12, 2024: Journal of Electrocardiology
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