Complete Recovery of Radial Nerve Function with Long Proximal Origin Early Cable Nerve Grafting

2006 ◽  
Vol 22 (08) ◽  
Author(s):  
Mark Henry
Keyword(s):  
Radial Nerve ◽  
Complete Recovery ◽  
Nerve Grafting ◽  
Nerve Function

Predicting recovery of facial nerve function following injury from a basilar skull fracture

1991 ◽  
Vol 75 (5) ◽  
pp. 759-762 ◽  
Author(s):  
Andrew B. Adegbite ◽  
Moe I. Khan ◽  
L. Tan
Keyword(s):  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Recovery Of Function ◽  
Statistical Significance ◽  
Complete Recovery ◽  
Partial Recovery ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Partial Lesion

✓ Twenty-five patients with posttraumatic facial nerve palsy were studied. Partial recovery of function had occurred in 95% of these patients by 18 months after injury. At 5 months posttrauma, there was some recovery in 92.5% of those with a partial lesion compared with 10% of those with a complete lesion. This difference attains statistical significance. Complete recovery of nerve function had occurred by 10.5 months in 53.5% of the patients; in 62% of patients with a partial lesion, complete recovery had occurred by 4 months compared with 0% in those with a complete lesion. This difference also attains statistical significance. There was no statistically significant difference in recovery of function between patients with an immediate as opposed to a delayed onset of facial nerve palsy. It was determined that the degree of palsy had a statistically significant influence on recovery of facial nerve function, whereas the time of onset did not. The data presented support a conservative approach to these injuries and it is recommended that the possibility of surgical treatment should be entertained in patients with complete facial palsy persisting for 12 to 18 months after injury.

Peripheral Nerve Palsy Associated with Congenital Constriction Band Syndrome

1991 ◽  
Vol 16 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Y. UCHIDA ◽  
Y. SUGIOKA
Keyword(s):  
Early Diagnosis ◽  
Peripheral Nerve ◽  
Nerve Palsy ◽  
Surgical Decompression ◽  
Nerve Grafting ◽  
Nerve Function ◽  
Constriction Band ◽  
Constriction Band Syndrome

Of 21 patients with congenital constriction band syndrome treated in our clinic from 1967 to 1988, four had constriction bands proximal to the wrist. Three of these also had a peripheral nerve palsy. Late surgical decompression does not help but early diagnosis, using electrodiagnosis methods, and neurolysis or nerve grafting as soon as possible may improve nerve function.

Median to radial nerve transfer for treatment of radial nerve palsy

2007 ◽  
Vol 107 (3) ◽  
pp. 666-671 ◽  
Author(s):  
Susan E. Mackinnon ◽  
Brandon Roque ◽  
Thomas H. Tung
Keyword(s):  
Grip Strength ◽  
Median Nerve ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Nerve Repair ◽  
Nerve Transfer ◽  
Functional Restoration ◽  
Radial Nerve Palsy ◽  
Nerve Function ◽  
Proximal Forearm

✓The purpose of this study is to report a surgical technique of nerve transfer to restore radial nerve function after a complete palsy due to a proximal injury to the radial nerve. The authors report the case of a patient who underwent direct nerve transfer of redundant or expendable motor branches of the median nerve in the proximal forearm to the extensor carpi radialis brevis and the posterior interosseous branches of the radial nerve. Assessment included degree of recovery of wrist and finger extension, and median nerve function including pinch and grip strength. Clinical evidence of reinnervation was noted at 6 months postoperatively. The follow-up period was 18 months. Recovery of finger and wrist extension was almost complete with Grade 4/5 strength. Pinch and grip strength were improved postoperatively. No motor or sensory deficits related to the median nerve were noted, and the patient is very satisfied with her degree of functional restoration. Transfer of redundant synergistic motor branches of the median nerve can successfully reinnervate the finger and wrist extensor muscles to restore radial nerve function. This median to radial nerve transfer offers an alternative to nerve repair, graft, or tendon transfer for the treatment of radial nerve palsy.

Preservation of Facial Nerve Function after Postoperative Vasoactive Treatment in Vestibular Schwannoma Surgery

Neurosurgery ◽  
2006 ◽  
Vol 59 (3) ◽  
pp. 577-584 ◽  
Author(s):  
Christian Strauss ◽  
Johann Romstöck ◽  
Rudolf Fahlbusch ◽  
Stefan Rampp ◽  
Christian Scheller
Keyword(s):  
Facial Nerve ◽  
Hydroxyethyl Starch ◽  
Vestibular Schwannoma ◽  
Complete Recovery ◽  
Potential Effect ◽  
Long Term Results ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Before And After

Abstract OBJECTIVE: Facial nerve paresis and hearing loss are common complications after vestibular schwannoma surgery. Experimental and clinical studies point to a beneficial effect of nimodipine and hydroxyethyl starch for preservation of cochlear nerve function. A retrospective analysis was undertaken to evaluate the effect of vasoactive treatment on facial nerve outcome. PATIENTS AND METHODS: Forty-five patients with vestibular schwannoma removal, intraoperative electromyographic monitoring, and postoperative deterioration of facial nerve function were evaluated. Twenty-five patients underwent vasoactive treatment consisting of nimodipine and hydroxyethyl starch for improvement of hearing outcome. Twenty patients did not receive such treatment. Facial nerve function was evaluated before and after surgery, as well as 1 year after the surgical procedure. Patients were comparable regarding age, tumor size, and preoperative facial nerve function. RESULTS: Long-term results of facial nerve function were significantly improved in those patients who experienced severe postoperative deterioration of facial nerve function and received vasoactive treatment as compared with patients who did not receive nimodipine and hydroxyethyl starch after surgery. Treated patients showed a significantly higher rate of complete recovery compared with patients without treatment. CONCLUSION: The study points to a potential effect of vasoactive treatment for facial nerve function after vestibular schwannoma surgery. In particular, patients with postoperative disfiguring facial nerve palsy clearly benefit from intravenous hydroxyethyl starch and nimodipine with respect to a long-term socially acceptable facial nerve function.

Prognosis for Peripheral Nerve Injuries after Hip Joint Arthroplasty

2020 ◽  
Vol 22 (5) ◽  
pp. 323-332
Author(s):  
Aleksandra Kolanowska-Groma ◽  
Marek Synder ◽  
Marcin Sibiński ◽  
Stanisław Kłosiński
Keyword(s):  
Sciatic Nerve ◽  
Peripheral Nerve ◽  
Femoral Nerve ◽  
Significant Risk ◽  
Revision Arthroplasty ◽  
Complete Recovery ◽  
Anterolateral Approach ◽  
Nerve Function ◽  
Female Sex ◽  
Primary Arthroplasty

Background. Peripheral nerve damage is a rare complication of hip replacement surgery that severely impairs the therapeutic outcome. The aim of the present study was to determine the time needed for nerve recovery and re­storation of activity following iatrogenic damage during a primary or revision hip arthroplasty from an anterolateral approach and its relationship with the severity of damage. Materials and methods. A prospectively collected database of 1107 patients treated with primary arthroplasty and 303 patients following revision arthroplasty (mean age 63 years, range 53 to 72 years) was analysed. This included 15 cases of palsy of the peroneal branch of the sciatic nerve and 7 of the femoral nerve. The mean follow-up was 3.6 years (minimum two years). Results. The following risk factors were identified: dysplastic osteoarthritis, limb elongation, revision arthroplasty, female sex and post-traumatic osteoarthritis. All five patients demonstrating light palsy (Lovett score 3-5), and 9 out of the 17 with severe palsy (Lovett score 0-2) achieved full recovery. Of all patients, 63.6% regained nerve function after 4 weeks to 24 months (mean 17 months), with nine demonstrating complete recovery and five partial. Also, 66.6% patients regained femoral nerve function and 61.5%, sciatic nerve function. Conclusion. 1. The femoral nerve and the peroneal branch of the sciatic nerve demonstrate a similar pattern of functional recovery following damage. 2. All patients recovered from light palsy, and almost 2/3 of cases of severe palsy demonstrated partial or complete recovery. 3. Female sex is a significant risk factor.

scholarly journals Immunological and Hematological Response to Local Transplantation of Stem Cells in Injured Radial Nerve of Dogs

2020 ◽  
Vol 44 (2) ◽  
pp. 45-55
Author(s):  
Haidar H. Essa
Keyword(s):  
Stem Cells ◽  
Functional Ability ◽  
Radial Nerve ◽  
Positive Control ◽  
Negative Control ◽  
Physical Activities ◽  
Human Umbilical Cord ◽  
Nerve Function ◽  
Tnf Α ◽  
Hematological Changes

The current study was carried out to investigate the immunological and hematological changes due to local transplantation of human umbilical cord-mesenchymal-stem cells (HUC-MSCs) and scaffold-stem cells (SSCs) into the injured radial nerve. Therefore, three equal groups of dogs were subjected to this study; experimental (EG), positive control (PCG) and negative control (NCG). At 1st week, dogs of EG were showed an obvious mobility dysfunction. At 2nd and 4th weeks, there were apparent improvements reported on general and physical activities as well as functional ability of forelimb with the presence of slight lameness that was cured completely at 5th week. Regarding to immunobiomarkers, insignificant differences were showed at 1st week. However, significantly increase in IgG and TNF-α, and decrease in IL-10 was reported at 2nd, 4th, and 6th weeks. Regarding to hematologic parameters, significantly increases were recorded in total WBCs from 2nd week onwards, lymphocytes and neutrophils at 2nd week, monocytes at the 2nd and 4th weeks, and total RBCs at the 8th and 16th weeks. Significant differences were not reported in values of PCV and Hb throughout this study. In conclusion, HUC-MSCs and SSCs confirmed high activities in supporting of immunological and hematological responses, and in restoration of nerve function

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