Abstract:
BACKGROUND:Use of distal nerve transfer for improving upper limb function has been well described for patients with tetraplegic spinal cord injury and brachial plexus injuries but has not previously been described for Brown-Séquard type spinal cord injury. We describe our experience with 2 cases of combined Brown-Séquard injury and unilateral brachial amyotrophy. CASE DESCRIPTION:Patient 1, a 43-year-old woman, was involved in a motor vehicle accident and sustained left-side C5-7 level hemicord injury causing ipsilateral proximal arm weakness and sensory loss with contralateral hemisensory changes, neuropathic pain, and spasms. At 6 months after injury, she underwent a spinal accessory to suprascapular nerve, radial nerve triceps branch to axillary nerve, and ulnar fascicle to biceps transfer. At 2-year follow-up, she had improved function with Medical Research Council grade 4 power of shoulder abduction, elbow flexion, and internal and external rotation. Patient 2, a 38-year-old man, sustained a C4-5 fracture-dislocation in a motor vehicle accident and associated right-side hemicord injury involving the C5 and C6 myotomes with relatively preserved distal function. At 9 months after injury, he underwent radial nerve triceps branch to axillary nerve division and ulnar nerve fascicle to musculocutaneous nerve brachialis branch transfer. At 8 months after surgery, electromyography demonstrated evidence of further reinnervation of the deltoid muscle. CONCLUSIONS:Our early experience of nerve transfer with 2 patients with combined Brown-Séquard cord injury and brachial amyotrophy indicated acceptable surgical safety and demonstrated encouraging results.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Loch-Wilkinson T,McNeil S,White C,Schrag C,Midha Rdoi
10.1016/j.wneu.2017.10.169subject
Has Abstractpub_date
2018-02-01 00:00:00pages
152-157eissn
1878-8750issn
1878-8769pii
S1878-8750(17)31908-3journal_volume
110pub_type
杂志文章abstract:OBJECTIVE:To describe epidemiology in relation to gender differences and treatment modalities 10 years after intracranial aneurysm rupture in the Stockholm cohort 1996-1999. METHODS:A total of 468 consecutive patients with aneurysmal subarachnoid hemorrhage were followed-up in a retrospective cohort design 10 years af...
journal_title:World neurosurgery
pub_type: 杂志文章
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abstract:BACKGROUND:Transforaminal endoscopic lumbar discectomy (TELD), a minimally invasive spinal technique, has advantages over open discectomy. Unilateral TELD for disc herniation causing bilateral symptoms is challenging. In this study, we describe a percutaneous endoscopic herniotomy technique by using a unilateral approa...
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abstract:OBJECTIVE:To compare circumferential minimally invasive (cMIS) versus open surgeries for mild-to-moderate adult spinal deformity (ASD) with regard to intensive care unit (ICU) and hospital lengths of stay (LOS). METHODS:A retrospective review of 2 multicenter ASD databases with 426 ASD (sagittal vertical axis <6 cm) s...
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pub_type: 杂志文章,多中心研究
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abstract:OBJECTIVE:To evaluate the outcomes and complications of patients with adult spinal deformity treated in a primary versus revision fashion with long fusions to the sacropelvis. METHODS:A retrospective review was performed of a multicenter consecutive series of patients with adult spinal deformity requiring fusion to th...
journal_title:World neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.wneu.2013.02.059
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abstract:OBJECTIVE:The American Association and Congress of Neurological Surgeons recommended mean arterial blood pressure (MAP) in patients with acute spinal cord injury (SCI) should be 85-90 mm Hg for the first 7 days. We evaluated whether hemodynamic management differed between a primary-receiving and tertiary hospital in th...
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2011.05.017
更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.11.180
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更新日期:2018-12-01 00:00:00
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更新日期:2019-07-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.09.039
更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2020.11.135
更新日期:2020-12-19 00:00:00
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doi:10.1016/j.wneu.2017.01.092
更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2015.11.004
更新日期:2016-03-01 00:00:00
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journal_title:World neurosurgery
pub_type:
doi:10.1016/j.wneu.2020.06.013
更新日期:2020-09-01 00:00:00
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doi:10.1016/j.wneu.2019.01.163
更新日期:2019-05-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.01.138
更新日期:2018-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-10-01 00:00:00
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更新日期:2019-07-01 00:00:00
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journal_title:World neurosurgery
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更新日期:2020-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-31 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.09.168
更新日期:2019-01-01 00:00:00