Study Objectives: Many findings suggest that in altricial mammals neonatal
REM sleep has developmental functions. However, investigations of these dev
elopmental functions has been hampered by technical limitations of the conv
entional polysomnographic (PSG) recording technique. One limitation is that
continuous (24 hour/day), long-term (weeks) PSG recordings have not been a
chieved. A second limitation is that the metal screw electrodes and head pl
ugs cemented to the skull cannot be removed to allow the neonate to mature
into adulthood. As a result of these limitations, the relationship between
neonatal sleep/wake variables and adult variables has not been studied. Als
o the effects of polysomnographically controlled neonatal REM sleep depriva
tion on adult variables have not been studied. The present work describes a
new technique called the soft head plug (SH) method for continuous, long-t
erm PSG recording.
Design: In the new technique, electrodes are thin, strong, Teflon wires tha
t are led by a suturing needle through the soft skull to the epidural space
, then with a U-turn exited from the skull and tied to the entry wire. Thus
, in contrast to the conventional technique, the soft head plug technique d
oes not use screws as electrodes and does not cement a hard, relatively lar
ge electrode plug to the skull, removal of which is fatal or very traumatic
. The SH recording electrodes can be removed without damage to neonates,
Setting: NA
Patients: NA
Interventions: NA
Results: In the present study sleep/wake results with the soft head plug te
chnique were reliable (replicated) and, compared with results of the conven
tional method, valid.
Conclusions: The results indicate that the soft head plug technique can be
used to study relationships between neonatal sleep/wake variables and adult
variables.