Rehabilitation Following Peripheral Nerve Injury

Sep 23, 2017 by in NEUROLOGY Comments Off on Rehabilitation Following Peripheral Nerve Injury

To be evaluated Evaluation tools Objective measure Subjective measure Test Prognostic tool Rating scales Questionnaires Pain and cold sensitivity  Rosén Score – a tool to assess functioning and pain of patients suffering…

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Alternative Strategies for Nerve Reconstruction

Sep 23, 2017 by in NEUROLOGY Comments Off on Alternative Strategies for Nerve Reconstruction

Neurosensory recovery based upon Sunderland classification Need for surgery Sunderland Recovery pattern Rate of recovery I Complete Fast (days–weeks) None II Complete Slow (weeks) None III Variable Slow (weeks–months) Maybe…

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Surgical Techniques in the Lesions of Peripheral Nerves

Sep 23, 2017 by in NEUROLOGY Comments Off on Surgical Techniques in the Lesions of Peripheral Nerves

Fig. 5.1 The modern operating microscope with the optical beam splitter 5.2.2 The Retractor-Integrated Endoscope Minimally invasive surgical methods are becoming increasingly popular. Post-traumatic nerve lesions are frequently, if not…

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State-of-the-Art Diagnosis of Peripheral Nerve Trauma: Clinical Examination, Electrodiagnostic, and Imaging

Sep 23, 2017 by in NEUROLOGY Comments Off on State-of-the-Art Diagnosis of Peripheral Nerve Trauma: Clinical Examination, Electrodiagnostic, and Imaging

EMG finding Occurrence/cause Timing Normal Central nervous system lesion (e.g., intracranial hemorrhage) Always Not a severe nerve lesion Until the occurrence of pathological spontaneous activity Pathologic spontaneous activity Axonotmesis, neurotmesis,…

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Timing and Decision-Making in Peripheral Nerve Trauma

Sep 23, 2017 by in NEUROLOGY Comments Off on Timing and Decision-Making in Peripheral Nerve Trauma

Fig. 3.1 Algorithm of the diagnostic and therapeutic steps and treatment strategies for nerve injury The complex challenge of nerve repair and reconstruction, including additional steps that may become necessary,…

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Conventional Strategies for Nerve Repair

Sep 23, 2017 by in NEUROLOGY Comments Off on Conventional Strategies for Nerve Repair

Fig. 4.1 Intraoperative view of a gunshot injury to the sciatic nerve. (a) Scar tissue involving the nerve. (b) After external neurolysis the main trunk of the nerve as well…

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Clinical Follow-Up

Sep 23, 2017 by in NEUROLOGY Comments Off on Clinical Follow-Up

Score Description 1 No rehabilitation at all or less than once per week 2 Rehabilitation more than once weekly, but not at a specialized centre 3 Good progress with a…

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Specific Challenges in Brachial Plexus Surgery

Sep 23, 2017 by in NEUROLOGY Comments Off on Specific Challenges in Brachial Plexus Surgery

Fig. 6.1 Flowchart of the University of Michigan Neonatal Brachial Plexus Palsy (NBPP) pathway of presurgery decision-making. US Ultrasound, MRI Magnet Resonance Imaging, MUAP Motor Unit Action Potential 6.3 Challenges…

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