An Electronmicroscopic Study of Collateral Nerve Sprouts
One of the major limitations of classical regeneration is that an axon may have to grow a long way before it can re-establish contact with the denervated cells. Fortunately, however, an alternative and more rapid mechanism exists to secure functional recovery. In this process - collateral nerve sprouting - side branches grow out from surviving axons closest to the denervated elements.Collateral nerve sprouting was recognized by Exner before the turn of the century, though at the time his concept went unnoticed. It was shown that collateral sprouts could restore apparently normal function to skeletal muscle. More recent studies have indicated that collateral sprouting is a general property of peripheral nerves both motor and sensory, somatic and autonomic; but its occurrence in the central nervous system is controversial Structural study of collateral nerve sprouts requires the observation of processes having morphological characteristics beyond the resolution capability of the light microscope. In the absence of information about collateral sprouting at the electronmicroscopic level, and because of its clinical relevance, we set ourselves the task of studying the natural history of this process. The present work will serve as a basis for quantitative studies, including those aimed at controlling the rate and extent of collateral nerve sprouting.