Early de-tethering: analysis of urological and clinical consequences in a series of 40 children
Autor: | G. Selvaggio, Micol Babini, Dario Caldiroli, Elena Beretta, Grazia Devigili, Roberto Cordella, Laura Valentini, Paolo Murabito, Francesca Destro |
---|---|
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Intraoperative Neurophysiological Monitoring 030232 urology & nephrology Neurosurgical Procedures 03 medical and health sciences 0302 clinical medicine Bulbocavernosus reflex Anesthesiology medicine Humans Neural Tube Defects Radical surgery business.industry General Medicine Perioperative Lipoma medicine.disease Surgery Urodynamics Treatment Outcome Pediatrics Perinatology and Child Health Neurology (clinical) Neurosurgery business Myelocystocele 030217 neurology & neurosurgery Intraoperative neurophysiological monitoring |
Zdroj: | Child's Nervous System. 37:941-949 |
ISSN: | 1433-0350 0256-7040 |
DOI: | 10.1007/s00381-020-04838-6 |
Popis: | Early de-tethering procedures are performed on spinal dysraphisms to prevent neuro-urological deterioration caused by growth. Partial lipoma removal may cause delayed deterioration by re-tethering, while complete removal may increase the risk of postoperative worsening. The present study evaluates the risk of postoperative deterioration and the protective potential of intraoperative neurophysiological monitoring (IOM), with a special reference to the conus lipomas treated with the radical approach. Forty toddlers ( |
Databáze: | OpenAIRE |
Externí odkaz: |