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The Determinant for N20 Latency of Somatosensory Evoked Potentials in Infants

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Objective: To obtain the reference value of N20 latency of median and ulnar nerve somatosensory-evoked potentials (SEPs) in infants. Method: Medical data from infants diagnosed with lumbosacral lipomyelomeningocele who underwent SEP analysis were reviewed retrospectively. Multiple regression analyses were performed to determine the factors that affect N20 latency of median and ulnar nerves (N20median and N20ulnar) considering age, weight, total arm length, upper arm length, and forearm length. Pearson’s correlation analysis was performed between N20 latencies and upper arm length. Results: Total arm length (p < 0.01; p < 0.01), upper arm length (p < 0.001; p < 0.01), and forearm length (p < 0.01; p < 0.01) contributed to N20median and N20ulnar in simple regression analyses. Upper arm length (p < 0.001; p < 0.01) was the only contributing factor for N20median and N20ulnar following multiple regression analyses. The regression equations for estimating N20 latencies in infants from upper arm length were N20median = -0.47 × upper arm length + 22.53 (R2 = 0.21) and N20ulnar = -0.46 × upper arm length + 22.66 (R2 = 0.19). Conclusion: Upper arm length was negatively correlated with N20 latency of upper extremity SEPs in infants. The equations derived from the medical data can be clinically applied as references for infant SEPs.

Abstract

Objective: To obtain the reference value of N20 latency of median and ulnar nerve somatosensory-evoked potentials (SEPs) in infants. Method: Medical data from infants diagnosed with lumbosacral lipomyelomeningocele who underwent SEP analysis were reviewed retrospectively. Multiple regression analyses were performed to determine the factors that affect N20 latency of median and ulnar nerves (N20median and N20ulnar) considering age, weight, total arm length, upper arm length, and forearm length. Pearson’s correlation analysis was performed between N20 latencies and upper arm length. Results: Total arm length (p < 0.01; p < 0.01), upper arm length (p < 0.001; p < 0.01), and forearm length (p < 0.01; p < 0.01) contributed to N20median and N20ulnar in simple regression analyses. Upper arm length (p < 0.001; p < 0.01) was the only contributing factor for N20median and N20ulnar following multiple regression analyses. The regression equations for estimating N20 latencies in infants from upper arm length were N20median = -0.47 × upper arm length + 22.53 (R2 = 0.21) and N20ulnar = -0.46 × upper arm length + 22.66 (R2 = 0.19). Conclusion: Upper arm length was negatively correlated with N20 latency of upper extremity SEPs in infants. The equations derived from the medical data can be clinically applied as references for infant SEPs.

참고문헌 (28)

  1. Klimach VJ, "Maturation of the neonatal somatosensory evoked response preterm infants", Dev Med Chil Neurol, 30, pp.208~214 (1988)
  2. Trollmann R, "Neonatal somatosensory evoked potentials: maturational aspects and prognostic value", Pediatr Neurol, 42, pp.427~433 (2010)
  3. Willis J, "Somatosensory evoked potentials predict neuromotor outcome after periventricular hemorrhage", Dev Med Chil Neurol, 31, pp.435~439 (1989)
  4. Waters PM, "Obstetric brachial plexus injuries: evaluation and management", J Am Acad Orthop Surg, 5, pp.205~214 (1997)
  5. Zafeiriou DI, "Obstetrical brachial plexus palsy", Pediatr Neurol, 38, pp.235~242 (2008)
  6. Koršič M, "Somatosensory evoked potentials in children with brain ventricular dilatation", Croat Med J, 47, pp.279~284 (2006)
  7. Mohanty S, "The use of arm span as a predictor of height: A study of South Indian women", J Orthop Surg, 9, pp.19~23 (2001)
  8. Maurya VP, "Tethered Cord Syndrome-A Study of the Short-Term Effects of Surgical Detethering on Markers of Neuronal Injury and Electrophysiologic Parameters", World Neurosurg, 94, pp.239~247 (2016)
  9. Thomas DT, "Somatosensory evoked potentials as a screening tool for diagnosis of spinal pathologies in children with treatment refractory overactive bladder", Childs Nerv Syst, 33, pp.1327~1333 (2017)
  10. Brody BA, "Sequence of central nervous system myelination in human infancy. I. An autopsy study of myelination", J Neuropathol Exp Neurol, 46, pp.283~301 (1987)
  11. Gilmore RL, "Developmental assessment of spinal cord and cortical evoked potentials after tibial nerve stimulation: effects of age and stature on normative data during childhood", Electroencephalogr Clin Neurophys, 62, pp.241~251 (1985)
  12. Desmedt JE, "Somatosensory evoked potentials to finger stimulation in healthy octogenarians and in young adults: wave forms, scalp topography and transit times of pariental and frontal components", Electroencephalogr Clin Neurophysiol, 50, pp.404~425 (1980)
  13. Ganes T, "A study of peripheral, cervical and cortical evoked potentials and afferent conduction times in the somatosensory pathway", Electroencephalogr Clin Neurophysiol, 49, pp.446~451 (1980)
  14. Matthews W, "Cervical somatosensory evoked responses in man", Nature, 252, pp.230~ (1974)
  15. Lauffer H, "Maturation of central somatosensory conduction time in infancy and childhood", Neuropediatrics, 17, pp.72~74 (1986)[DOI]
  16. Eyre J, "Constancy of central conduction delays during development in man: investigation of motor and somatosensory pathways", J Physiol, 434, pp.441~452 (1991)
  17. Matsumoto H, "Efferent and afferent evoked potentials in patients with adrenomyeloneuropathy", Clin Neurol Neurosurg, 112, pp.131~136 (2010)
  18. Müller K, "Maturation of fastest afferent and efferent central and peripheral pathways: no evidence for a constancy of central conduction delays", Neurosci Lett, 166, pp.9~12 (1994)
  19. Barnet A, "VEP development in infancy and early childhood. A longitudinal study", Electroencephalogr Clin Neurophysiol, 49, pp.476~489 (1980)
  20. Allison T, "Brain stem auditory, pattern-reversal visual, and short-latency somatosensory evoked potentials: latencies in relation to age, sex, and brain and body size", Electroencephalogr Clin Neurophysiol, 55, pp.619~636 (1983)
  21. Yakovlev P, "Regional development of the brain in early life" (1967)
  22. Boor R, "Maturation of near-field and far-field somatosensory evoked potentials after median nerve stimulation in children under 4 years of age", Clin Neurophysiol, 111, pp.1070~1081 (2000)
  23. Doria-Lamba L, "Short latency evoked somatosensory potentials after stimulation of the median nerve in children: normative data", J Clin Neurophysiol, 26, pp.176~182 (2009)
  24. Lauronen L, "Magnetoencephalography in neonatology", Neurophysiol Clin, 42, pp.27~34 (2012)
  25. Favilla JT, "Myelin-associated glycoprotein (MAG) distribution in human central nervous tissue studied immunocytochemically with monoclonal antibody", J Neuroimmunol, 6, pp.19~30 (1984)
  26. Sloan TB, "Effects of midazolam on median nerve somatosensory evoked potentials", Br J Anaesth, 64, pp.590~593 (1990)
  27. Laureau E, "Comparative study of propofol and midazolam effects on somatosensory evoked potentials during surgical treatment of scoliosis", Neurosurgery, 45, pp.69~74 (1999)
  28. Nevalainen P, "Development of human somatosensory cortical functions-what have we learned from magnetoencephalography: a review", Front Hum Neurosci, 8, pp.158~ (2014)

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