Cortical Evoked Potentials in Children of Diabetic Mothers

Type 1 diabetic mothers' infants show a delay of visual evoked potential (VEP) significantly related to some parameters of poor metabolic control during pregnancy. In the present paper we analyzed the characteristics of VEPs and somatosensory evoked potentials (SEPs) recorded in 16 three-year-old type 1 diabetic mothers' children (DMC). Compared with controls (23 nondiabetic mothers' healthy matched children), DMC showed significantly delayed mean latency of VEP (P2) and SEP (P22). In 3 cases (19%), we found pathological responses (+3 SD from the mean value of controls) of VEPs and SEPs. At the age of 3 years, the offspring of type 1 diabetic mothers showed delay of cortical evoked responses in both visual and somatosensory systems

Can patients with epilepsy become bone marrow donors? A case report of allogeneic hematopoietic stem transplantation from child with seizures

Hematopoietic stem cell (HSC) transplantation is an important treatment option for malignant and non-malignant hematopoietic disorder in adults and children. For long time epilepsy was temporary exclusion condition to voluntary donation, and donors had to be medication or seizure free. It is still unclear if people with history of epilepsy are indeed potential eligible donors, even if a significant increased risk of adverse events in these donors has not been demonstrated. We studied a 10-year-old boy with symptomatic focal epilepsy who was the only available donor for his monozycote twin, suffering from acute lymphoblastic leukemia. A total of 3.39 x 108/kg HSCs were collected and reinfused to the leukemic brother after conditioning treatment. At the end of follow-up, our epilepsy patient had no consequences and his brother is in complete remission of the disease at 3 years from the transplant procedure. Our observation confirms that a patient with epilepsy can be a donor, without consequences for himself and for the recipient

A Multicentre Database for Normative Brainstem Auditory Evoked Potentials (BAEPs) in Children: Methodology for Data Collection and Evaluation

The influence of physiological and methodological factors on recordings of brainstem auditory evoked potentials (BAEPs) is greater in children than in adults. To collect and evaluate BAEP data in normal children, and measure intra- and inter-laboratory variability. Seven hundred and fifty unselected BAEP recordings were collected and evaluated from children ranging from neonates to 14-year-olds by eight laboratories in Italy. In newborns, three laboratories showed satisfactory concordance; wave I was more broadly distributed than wave V and IPL I-V. The evaluation of pooled BAEP data from the older children showed that laboratories with age-matched data gave overlapping results; those with unmatched-age data differed significantly. The sound intensities of the laboratories did not significantly affect absolute BAEP latencies or IPLs. Females had shorter latencies than males; the difference was not significant. A single exponential regression model was an adequate but not the best predictor of normal data. The pooled data were consistent with the physiological maturation of the brainstem acoustic pathway. The BAEPs was reliably normalised using the natural logarithm of age. The differences between Centres were related to sample size, measurement accuracy, and inclusion and selection criteria. The creation of multicentre common database from an unmatched data collection is feasible and reliable enough for clinical diagnosis and multicentre clinical research

L'impiego dei potenziali evocati nella sclerosi tuberosa

Evoked potentials (EP) allow the assessment of the functional integrity and degree of maturation of the main pathways of sensory afference (visual, acoustic and somaesthetic). For this reason, EP can be used in the study of patients with tuberous sclerosis. In clinical practice, EP serve to give information for early diagnosis and a better prognostic assessment of the individual patient. A recent analysis of visual evoked potentials (VEP) and brain stem acoustic evoked potentiials (BAEP) in children with tuberous sclerosis disclosed an increased average latency of some components of both VEP (component IV or P2) and BAEP (V wave and I-V interpeak). Impaired responses were present in 80% of VEP and 85% of BAEP. In addition, impaired BAEP were also present in patients without subtentorial structural abnormalities. EP serve as a useful instrument for early diagnosis of tuberous sclerosis. Given the anatomofunctional differences of the systems stimulated and the preferential location of lesions in certain areas, the various different EP have varying degrees of sensitivity in disclosing abnormalities: visual and brain stem acoustic EP are more sensitive than somatosensory EP

Elettroencefalografia - principi generali, eeg quantitativo e funzionale (potenziali evocati ed evento-correlati)

L’elettroencefalogramma (EEG) rappresenta uno strumento diagnostico fondamentale nella maggior parte delle malattie del Sistema Nervoso Centrale sia del bambino che dell’adulto, oltre ad essere un’indagine indispensabile per l’accertamento della morte cerebrale. L’avvento di sistemi computerizzati ha consentito lo sviluppo di nuove metodiche di analisi del segnale EEG, tutte derivate dall’elettroencefalografia tradizionale, per cui oggi la diagnostica neurofisiopatologica si avvale di un ampio spettro di indagini, ciascuna con specifiche indicazioni. Nel capitolo, vengono analizzate le caratteristiche principali, le indicazioni e i limiti sia dell' EEG che delle indagini da esso derivate, con particolare attenzione al loro valore diagnostico nei pazienti in età evolutiva