Document Detail


Distance of the motor cortex from the coronal suture as a function of age.
MedLine Citation:
PMID:  15687735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was performed to investigate whether the distance from the motor cortex to the coronal suture changes with age. METHODS: We performed a retrospective review of the charts of pediatric patients who had undergone frontoparietal implantation of subdural grids for long-term video-EEG monitoring during an evaluation for seizure surgery from 1995 to 2001. Cortical mapping was performed in 17 patients to localize the motor cortex. On postimplantation lateral skull radiographs, the coronal suture was identified at its medial aspect, and the anterior-posterior distance was measured to the electrodes overlying motor cortex. RESULTS: Ages ranged from 10 months to 14.6 years with a mean of 8.6 years. The mean distance from the coronal suture to the motor cortex was 31.5 mm (+/-7 mm). The location of the motor cortex correlated significantly with age (r(s) = 0.84, p < 0.0005) and increased at a rate of 1.5 mm per year. All patients aged < 6 years had distances of < 3 cm from the coronal suture to the motor cortex. CONCLUSIONS: The distance from the coronal suture to the motor cortex increases with patient age. This variability has implications for determining the location of eloquent structures based on this anatomical landmark.
Authors:
Dennis J Rivet; Donncha F O'Brien; T S Park; Jeffrey G Ojemann
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatric neurosurgery     Volume:  40     ISSN:  1016-2291     ISO Abbreviation:  Pediatr Neurosurg     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2005-02-02     Completed Date:  2005-02-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9114967     Medline TA:  Pediatr Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  215-9     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2004 S. Karger AG, Basel.
Affiliation:
Department of Neurosurgery, Pediatric Epilepsy Center, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Child
Child Development*
Child, Preschool
Electroencephalography
Female
Humans
Infant
Male
Motor Cortex / anatomy & histology*,  growth & development*
Retrospective Studies
Seizures / surgery
Skull / anatomy & histology*,  growth & development*
Grant Support
ID/Acronym/Agency:
NS 41272/NS/NINDS NIH HHS

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