Evaluation of neurological examination, sep results, mri results, and lesion levels in patients who had been operated for myelomeningocele

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dc.authoridEzgi Tuna Erdoğan / 0000-0002-6209-6912
dc.authorscopusidEzgi Tuna Erdoğan / 55312217800
dc.authorwosidEzgi Tuna Erdoğan / AAM-8737-2020
dc.contributor.authorCanaz, Gökhan
dc.contributor.authorCanaz, Hüseyin
dc.contributor.authorTuna Erdoğan, Ezgi
dc.contributor.authorAlataş, İbrahim
dc.contributor.authorEmel, Erhan
dc.contributor.authorMatur, Zeliha
dc.date.accessioned2021-02-11T13:30:57Z
dc.date.available2021-02-11T13:30:57Z
dc.date.issued2020en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: Myelomeningocele is the most severe and the most frequent form of spina bifida. Most of the myelomeningocele patients undergo operations in newborn age. In terms of life quality and rehabilitation, follow-up's of these patients in the growth and development period after the operation is critical. In our study, our aim is to emphasize the correlation of SEP results with MRI results and clinical features of the myelomeningocele patients. Materials and Methods: In our study, we included 36 patients who had undergone myelomeningocele operation and have been followed-up in Istanbul Bilim University Florence Nightingale Hospital, Spina Bifida Research and Treatment Centre. Posterior tibial nerve SEP was performed on each patient and neurological examinations were done in the same session. Results were compared with clinical functional lesion levels, levels of fusion defect and ambulation levels. In order to evaluate SEP results, we used age-related reference values from Boor et al.'s study in 2008. Patients were grouped as normal, unilaterally prolonged, bilaterally prolonged, unilaterally lost, and bilaterally lost. Results: The correlations of posterior tibial nerve SEP results were significant with ambulation levels (r = 0.428, P < 0.01), clinical functional lesion levels (r = 0.477, P < 0.01) and fusion defect levels (r = -0.528 P < 0.05). The lumbar SEP results were only significantly correlated with functional lesion levels (r = 0.443 P < 0.05). Conclusions: Radiological studies are insufficient when evaluating the functionality of the central nervous system. To fully evaluate the functionality and watch the neurological development with accuracy, especially in operated patients, electrophysiological studies should be an indispensable part of myelomeningocele follow-ups.en_US
dc.identifier.citationCanaz, G., Canaz, H., Erdogan, E. T., Alatas, I., Emel, E., & Matur, Z. (2020). Evaluation of neurological examination, SEP results, MRI results, and lesion levels in patients who had been operated for myelomeningocele. Journal of Pediatric Neurosciences, 15(4), 393.en_US
dc.identifier.doi10.4103/jpn.JPN_77_19en_US
dc.identifier.endpage401en_US
dc.identifier.issn1817-1745en_US
dc.identifier.issue4en_US
dc.identifier.pmid33936304en_US
dc.identifier.scopus2-s2.0-85100335150en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage393en_US
dc.identifier.urihttps://www.doi.org/10.4103/jpn.JPN_77_19
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1450
dc.identifier.volume15en_US
dc.identifier.wosWOS:000613417100009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTuna Erdoğan, Ezgi
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofJournal of Pediatric Neurosciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAmbulationen_US
dc.subjectMyelomeningoceleen_US
dc.subjectSomatosensory Evoked Potentialsen_US
dc.subjectSpina Bifidaen_US
dc.titleEvaluation of neurological examination, sep results, mri results, and lesion levels in patients who had been operated for myelomeningoceleen_US
dc.typeArticleen_US

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