Cauda Equina Repair in the Rat: Part 1. Stimulus-Evoked EMG for Identifying Spinal Nerves Innervating Intrinsic Tail Muscles

2009 ◽  
Vol 26 (8) ◽  
pp. 1405-1416 ◽  
Author(s):  
Don J. Blaskiewicz ◽  
Igor Smirnov ◽  
Tudor Cisu ◽  
Lara R. DeRuisseau ◽  
Dennis J. Stelzner ◽  
...  
Keyword(s):  
Author(s):  
Aaron G. Filler

Not every case of neurologically based pelvic/genital numbness/incontinence is due to cauda equina syndrome. Pelvic pain, incontinence, and sexual dysfunction can result from treatable peripheral nerve injury or entrapment affecting the pudendal nerves or impar ganglion. Learning the signs, physical exam findings, tests, and surgical options greatly expands a neurosurgeon’s range. The pudendal nerve and nerve to the obturator internus muscle arise after S2, S3, and S4 spinal nerves traverse the piriformis muscle. They exit the sciatic notch with the sciatic nerve but then re-enter the pelvis, where the pudendal nerve then gives off bladder, rectal, and genital branches.


2004 ◽  
Vol 1 (1) ◽  
pp. 64-71 ◽  
Author(s):  
Eva Maria Lang ◽  
Jörg Borges ◽  
Thomas Carlstedt

Object. The purpose of this study was to analyze therapeutic possibilities and clinical outcomes in patients with lumbosacral plexus injuries to develop surgical concepts of treatment. Methods. In a retrospective investigation 10 patients with injuries to the lumbosacral plexus were evaluated after surgery. The patients were assessed clinically, electrophysiologically, and based on the results of magnetic resonance imaging and computerized tomography myelography. In most patients a traction injury had occurred due to severe trauma that also caused pelvic fractures. In most cases the roots of the cauda equina of the lumbosacral plexus had ruptured. In cases of spinal root ruptures repair with nerve grafts were performed. In cases in which proximal stumps of the plexus could not be retrieved palliative nerve transfers by using lower intercostals nerves or fascicles from the femoral nerve were performed. Conclusions. Lesions of the proximal spinal nerves and cauda equina occur in the most serious lumbosacral plexus injuries. Patients with such injuries subjected to reconstruction of spinal nerves, repair of ventral roots in the cauda equina, and nerve transfers recovered basic lower-extremity functions such as unsupported standing and walking.


2009 ◽  
pp. 110306202455053
Author(s):  
Don J. Blaskiewicz ◽  
Igor Smirnov ◽  
Tudor Cisu ◽  
Lara R. DeRuisseau ◽  
Dennis Stelzner ◽  
...  
Keyword(s):  

1845 ◽  
Vol 1 ◽  
pp. 284-284
Author(s):  
Charles Bell

The instance produced was a case which had occurred in the Infirmary, in which the anterior roots of the nerves arising from the cauda equina were engaged in a tumour, and the consequence during life, was the loss of muscular power, sensibility remaining unaffected.


The author enters into a minute anatomical investigation of the structure of the spinal cord, and of its relations with the encephalon, and with the origins of the nerves. He finds that the spinal cord is constituted, in its whole length, by six pairs of columns, namely, two posterior, two lateral, and two anterior; each column being composed of concentric layers, and invested with an external coating of cineritious substance, and all the columns being divided from each other by deep sulci, which penetrate nearly to the centre of the cord. On tracing the posterior columns in their ascent towards the encephalon, they are seen to diverge laterally at the calamus scriptorius , or bottom of the fourth ventricle, and to proceed into the substance of the cerebellum. Each of these posterior columns is here found to consist of two portions, the outermost being the largest; and they now constitute the processus cerebelli ad medu oblongatam . This subdivision of the posterior columns may be traced throughout the whole length of the spinal cord. The lateral columns give origin to the posterior roots of the spinal nerves, and are therefore the parts subservient to sensation. In ascending towards the brain, each of these columns has a double termination; first, in the root of the fifth pair of cephalic nerves; and secondly, in the place where both columns unite into one round cord, and mutually decussate. Between the lateral and the anterior columns there is interposed a layer of cineritious matter, constituting a continuous stratum from the cauda equina to the roots of the auditory nerves. There is also a septum, dividing the right and left tracts subservient to sensation in the region of the fourth ventricle, and apparently terminating at the point of decussation of these tracts; but, in reality, separating to allow of this decussation, and joining the central portion of the cord, which connects the posterior with the anterior columns, and extends from the pons Varolii to the cauda equina .


2006 ◽  
Vol 48 (12) ◽  
pp. 994 ◽  
Author(s):  
Nika Kojc ◽  
Marjan Koršic ◽  
Mara Popovic
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2018 ◽  
Vol 52 (1-4) ◽  
pp. 1-9 ◽  
Author(s):  
MT Hussan ◽  
MS Islam ◽  
J Alam

The present study was carried out to determine the morphological structure and the branches of the lumbosacral plexus in the indigenous duck (Anas platyrhynchos domesticus). Six mature indigenous ducks were used in this study. After administering an anesthetic to the birds, the body cavities were opened. The nerves of the lumbosacral plexus were dissected separately and photographed. The lumbosacral plexus consisted of lumbar and sacral plexus innervated to the hind limb. The lumbar plexus was formed by the union of three roots of spinal nerves that included last two and first sacral spinal nerve. Among three roots, second (middle) root was the highest in diameter and the last root was least in diameter. We noticed five branches of the lumbar plexus which included obturator, cutaneous femoral, saphenus, cranial coxal, and the femoral nerve. The six roots of spinal nerves, which contributed to form three trunks, formed the sacral plexus of duck. The three trunks united medial to the acetabular foramen and formed a compact, cylindrical bundle, the ischiatic nerve. The principal branches of the sacral plexus were the tibial and fibular nerves that together made up the ischiatic nerve. Other branches were the caudal coxal nerve, the caudal femoral cutaneous nerve and the muscular branches. This study was the first work on the lumbosacral plexus of duck and its results may serve as a basis for further investigation on this subject.


1972 ◽  
Vol 48 (10) ◽  
pp. 747-752 ◽  
Author(s):  
Masanori OTSUKA ◽  
Shiro KONISHI ◽  
Tomoyuki TAKAHASHI
Keyword(s):  

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