Feasibility of awake craniotomy in the pediatric population

Gabriela Alcaraz García‐Tejedor; Gastón Echániz; Samuel Strantzas; Ibrahim Jalloh; James Rutka; James Drake; Tara Der

doi:10.1111/pan.13833

Awake craniotomy in pediatric population is possible!

Pediatric Anesthesia ◽

10.1111/pan.13877 ◽

2020 ◽

Vol 30 (6) ◽

pp. 722-722

Author(s):

Hemanshu Prabhakar ◽

Charu Mahajan ◽

Indu Kapoor

Keyword(s):

Pediatric Population ◽

Awake Craniotomy

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Feasibility of awake craniotomy in the pediatric population

Pediatric Anesthesia ◽

10.1111/pan.13906 ◽

2020 ◽

Vol 30 (7) ◽

pp. 842-843

Author(s):

Gabriela Alcaraz García‐Tejedor ◽

Samuel Strantzas ◽

Tara Der

Keyword(s):

Pediatric Population ◽

Awake Craniotomy

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Technical Considerations in Awake Craniotomy with Cortical and Subcortical Motor Mapping in Preadolescents: Pushing the Envelope

Pediatric Neurosurgery ◽

10.1159/000513004 ◽

2021 ◽

Vol 56 (2) ◽

pp. 171-178

Author(s):

Vishwaraj Ratha ◽

Nishanth Sampath ◽

Sudhakar Subramaniam ◽

V.R. Roopesh Kumar

Keyword(s):

Perioperative Complications ◽

Pediatric Population ◽

Awake Craniotomy ◽

Neurophysiological Monitoring ◽

Age Group ◽

Neurological Assessment ◽

Case Presentation ◽

Motor Mapping ◽

Combined Application ◽

Subcortical Mapping

Introduction: Unlike adult gliomas, the utility of combined application of awake anesthesia and intraoperative neurophysiological monitoring (IONM) for maximal safe resection in eloquent region gliomas (ERG) has not been established for pediatric population while it remains unexplored in preadolescents (below 11 years old). Case Presentation: We report 2 cases of awake craniotomy with IONM in an 8 and 9 year old for safe maximal resection of ERG. In both the cases, repeated preoperative visits of the operating room was performed to familiarize and educate the children about intraoperative communication, comfortable positioning, and neurological assessment. Under conscious sedation protocol, cortical and subcortical mapping, and electrocorticography, gross total resection was achieved. In both the cases, there were no postoperative neurodeficits or perioperative complications. Conclusion: Our 2 cases illustrate the first instance of successful use of awake IONM for maximal safe resection of ERG in preadolescent age-group. We believe, with proper preoperative planning and careful titration of anesthetics, it is safe and feasible. The blanket notion that preadolescent age-group should be excluded from awake mapping needs to be challenged, rather curated on a case basis.

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Use of Vestibular Rehabilitation in the Pediatric Population

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig7-2019-0002 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1399-1405 ◽

Cited By ~ 1

Author(s):

Jennifer Christy

Keyword(s):

Pediatric Population ◽

Dynamic Balance ◽

Vestibular Rehabilitation ◽

Rehabilitation Program ◽

Gross Motor ◽

Gaze Stabilization ◽

Motor Delay ◽

Rehabilitation Programs ◽

Motor Practice ◽

Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

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Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd18.2.76 ◽

2008 ◽

Vol 18 (2) ◽

pp. 76-86 ◽

Cited By ~ 2

Author(s):

Lauren Hofmann ◽

Joseph Bolton ◽

Susan Ferry

Keyword(s):

Tracheostomy Tube ◽

Pediatric Population ◽

Interdisciplinary Approach ◽

Extended Period ◽

Speech Development ◽

Tube Placement ◽

Background Information ◽

Speaking Valve ◽

Children's Hospital ◽

Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

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