MedPath

Monitoring of sensation during the Neurosurgery

Not yet recruiting
Conditions
Spina bifida, unspecified,
Registration Number
CTRI/2020/12/029871
Lead Sponsor
Jawaharlal Institute of Postgraduate Medical Education and Research
Brief Summary

In detethering surgery for tethered cord syndrome patients, damage to the neural structures is avoided by intraoperative monitoring of lower limb muscles, and perianal sphincter muscles by free running electromyography and, more rarely, with motor evoked potentials. However the sensory nerves or the sensory part of the neural placode containing the conus medullaris are not monitored and could be damaged during the surgical procedure. Sensory evoked potential monitoring of the perianal region and the lower limbs were not considered useful during detethering surgery though technically possible. Recently there has been a report of a novel method monitoring the SSEP directly over the spinal cord and we would like to replicate the study in our setting and measure the amplitude and latency during the procedure.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Patients with tethered cord syndrome, which can involve cases with myelomeningocele, lipomyelomeningocele, and lumbosacral split cord malformations, and these operations are usually done in children but can rarely be done in adults also.
  • So the age group involved is generally below 12 years but can be done in any age group if the patients present late.
Exclusion Criteria

Patients with preexisting severe sensory loss with large pressure sores where the possibility of obtaining an SSEP is unlikely.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
use of subdural ssep in detethering surgeriesrecording the sensory potential directly from the spinal cord during the time to surgery
Secondary Outcome Measures
NameTimeMethod
Feasibility of the Somatosensory evoked potential during detethering surgeryDuring the time of detethering surgery

Trial Locations

Locations (1)

Jawaharlal Institute of Postgraduate Medical Education and Research

🇮🇳

Pondicherry, PONDICHERRY, India

Jawaharlal Institute of Postgraduate Medical Education and Research
🇮🇳Pondicherry, PONDICHERRY, India
semparuthi A
Principal investigator
8973214408
Semparuthiyasothai@gmail.com

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.