Abstract:
:The selection of patients who will benefit from peripheral nerve surgery continues to evolve. The evaluation of patients with peripheral nerve problems, and the indications and timing of surgery are reviewed. This includes patients with transections, lesions in continuity, entrapments, tumors, injection injuries, and birth palsies. The treatment outlined for patients with peripheral nerve and brachial plexus injuries is based on a comprehensive clinical and electrodiagnostic evaluation complemented by imaging studies. A systematic approach to the surgical management of these neural lesions has evolved at our institution, based in part on extensive experience with intraoperative recording of nerve action potentials (NAPs) and a resultant large number of referrals. Advanced microsurgical techniques including use of grafts have expanded the scope of peripheral nerve surgery. These advances coupled with intraoperative electrophysiologic measurements have improved outcomes.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Spinner RJ,Kline DGdoi
10.1002/(sici)1097-4598(200005)23:5<680::aid-mus4>subject
Has Abstractpub_date
2000-05-01 00:00:00pages
680-95issue
5eissn
0148-639Xissn
1097-4598pii
10.1002/(SICI)1097-4598(200005)23:5<680::AID-MUS4>journal_volume
23pub_type
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