Abstract
Although aggregate discharges involving these injuries decreased slightly between 1993 and 2006, mean nominal hospital charges for their treatment increased significantly, in particular, for brachial plexus injuries. In 2006 30 to 40% of median, ulnar, and radial nerve injuries required acute repair...
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PMID: 20414978
PDF is available here.
Abstract
Four hundred thirty-four patients appear for postoperative FNL, providing 825 nerves at risk. Permanent RLNP occurred in 0.7%, temporary RLNP in 6.7%. RLNP rate was 6.4% at T1, 6.7% at T2, 4.8% at T3, 2.5% at T4, 0.8% at T5, and 0.7% at T6. Full recovery of vocal cord function was confirmed after re...
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PMID: 20013128
PDF is available here.
Abstract
We know now that certain groups of neurons, typically those that are more metabolically active, are more vulnerable to injury than others. Animal models of sleep apnea oxygenation patterns have been instrumental in elucidating mechanisms of injury. The hypoxia/reoxygenation events result in oxidativ...
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PMID: 20425226
PDF is available here.
Abstract
48 h after the total transection, the responses almost completely disappeared, and reappeared after 3 weeks. The latencies of the recovered responses were prolonged then but shortened thereafter. Meanwhile, the partial transection did not result in a total loss of AFNR, but in a decrease of the ampl...
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PMID: 20185955
PDF is available here.
Abstract
Abstract: Nerve regeneration and re-innervation are usually difficult after peripheral nerve injury. Epineurium neurorrhaphy to recover the nerve continuity was the traditional choice of peripheral nerve mutilation without nerve defects, whereas the functional recovery was not quite satisfactory. In...
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PMID: 20064102
PDF is available here.
Abstract
Patients receiving subtypes I and II of L-PANP surgery had less decrease in contraction of bladder than those receiving the same subtype of O-PANP surgery at 10 days post-operation (Z = -2.358, P = 0.018; Z = -2.268, P = 0.033). And no difference was observed in patients receiving subtype III PANP s...
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PMID: 20137707
PDF is available here.
Abstract
A physiologic- or biofidelic-based blast-induced tolerance curve may redefine current acceleration-based curves that are only valid to assess tertiary blast injury. Identification of additional pharmaceutical candidates will both confirm or deny current hypotheses on neural pathways of continued inj...
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PMID: 19901677
PDF is available here.
Abstract
The denervation-reinnervation view proposes that retrograde menstruation results from loss of normal, fundocervical polarity caused by injuries to uterine nerves. Injuries may be sporadic (following vaginal delivery) or recurrent (after persistent straining during defaecation) creating very differen...
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PMID: 19757260
PDF is available here.
Abstract
The soft tissue damage area around the screw insertion site was significantly greater in the mini-open compared with the percutaneous technique. MBN transection was observed in 84% (21/25) of the pedicles when using the mini-open technique and in 20% (5/25) when the percutaneous insertion technique...
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PMID: 19444073
PDF is available here.
Abstract
This retrospective study compared the frequency of electrodiagnostically confirmed cervical and lumbar radiculopathies in a motor vehicle accident (MVA) population to that of a non-MVA population in 24,651 consecutive initial electrodiagnostic reports. The frequency of cervical radiculopathy was sli...
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PMID: 19260059
PDF is available here.
Abstract
We performed a detailed prospective trial of the effect of neurectomy and mesh removal on persistent postherniotomy pain.
Twenty-one patients with postherniotomy pain >1 year, pain-related impairment of daily activities and a well-defined maximum pain localization where included. Inserted mesh was r...
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PMID: 19212190
PDF is available here.
Abstract
We review the sites and mechanisms whereby internal and external Ca(2+) can directly or indirectly alter the excitability of primary sensory neurons: excitability changes being manifested typically by variations in shape of the action potential or the pattern of its discharge....
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PMID: 19655118
PDF is available here.
Abstract
Shoulder dislocation is a common injury. Delays in diagnosis remain the single biggest obstacle to optimum results in this group of patients. A significant proportion will require eventual surgery and up to a third of these patients will go on to develop long-term shoulder arthritis. Even patients w...
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PMID: 19126329
PDF is available here.
Abstract
We review experimental and clinical studies investigating the effects of hypoglycemia and hyperglycemia on the brain that advance current knowledge on managing glycemia in patients receiving neurocritical care....
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PMID: 19098617
PDF is available here.
Abstract
Ultrasound guidance has become popular for performance of regional anesthesia and analgesia. This systematic review summarizes existing evidence for superior risk to benefit profiles for ultrasound versus other techniques. Medline was systematically searched for randomized controlled trials (RCTs) c...
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PMID: 19258988
PDF is available here.
Abstract
High-definition ultrasonography offers potential advantages in the administration of peripheral nerve blockade. The significant difference in major central nervous system local anesthetic toxicity observed in this study supports the use of ultrasound guidance in conjunction with peripheral nerve sti...
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PMID: 19587625
PDF is available here.
Author(s) unavailable
Abstract
Warfare historically causes a large number of peripheral nerve injuries. During the current global war on terror, an increased use of advanced regional anesthesia techniques appears to have significantly reduced pain syndromes that have been previously reported with missile-induced nerve injuries. Ad...
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PMID: 19064183
PDF is available here.
Abstract
We present the results of a retrospective assessment of referrals to a Neurophysiology department for suspected traumatic nerve injury. A broad range of traumatic neuropathies was demonstrated on testing, from numerous causes. We demonstrate an increased liklihood of traumatic nerve injury after fra...
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PMID: 19772010
PDF is available here.
Abstract
A total of 127 patients fulfilling inclusion criteria were included in the study. The mean age of the study patients was 31+/-17.7, 77.2% (n=98) of them were male, 13.4% of the patients (n=17) had craniocervical junction pathologies. About 64.7% (n=11) of these pathologies were detected only by CT;...
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PMID: 19078833
PDF is available here.
Abstract
A recent meeting on neural prosthetics provided an update on progress and some interesting digressions.
PDF is available here.
Abstract
Total stripping of the GSV in 69 limbs occurred because of pain (9%) or a tired feeling in the limbs (77%) or for cosmetic reasons (14%). The overall incidence of postoperative sensory neurologic deficits was 7 and 6%, respectively, after 6-week follow-up and both 3% after 3-month follow-up. In 99%...
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PMID: 18616536
PDF is available here.
Abstract
All cases achieved immediate stability and long-term bony fusion postoperatively and no iatrogenic ulnar nerve injury happen. CONCLUSION: The technique is a stable and reliable methods for unstable supracondylar fracture and the iatrogenic injury ulnar nerve can be avoided completely....
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PMID: 19105380
PDF is available here.
Abstract
Operative surgery remains the major therapeutic modality for most serious nerve injuries, entrapments, and many nerve tumors. This article highlights the advancements that have been made in nerve surgery since World War I, including nerve action potential recording, MRI, timing of repair, grafts, tu...
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PMID: 19010277
PDF is available here.
Abstract
Common etiologies of acute traumatic peripheral nerve injury (TPNI) include penetrating injury, crush, stretch, and ischemia. Management of TPNI requires familiarity with the relevant anatomy, pathology, pathophysiology, and the surgical principles, approaches and concerns. Surgical repair of TPNI i...
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PMID: 18482862
PDF is available here.
Abstract
Nerve injury diagnosed by clinical manifestation were S1 (17 cases), S2 (14 cases), S3 (7 cases), and S4 (6 cases). Nerve injury diagnosed by MRI were S1 (17 cases), S2 (14 cases), S3 (3 cases), and S4 (2 cases). Nerve injury confirmed by operation were S1 (17 cases), S2 (14 cases), S3 (7 cases), an...
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PMID: 18822737
PDF is available here.
Abstract
Much of the permanent damage that occurs in response to nervous system damage (trauma, infection, ischemia, etc.) is mediated by endogenous secondary processes that can contribute to cell death and tissue damage (excitotoxicity, oxidative damage and inflammation). For humans to evolve mechanisms to m...
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PMID: 18602443
PDF is available here.
Abstract
We determined the time course expression of proinflammatory cytokines interleukin-6 (IL-6) and IL-1beta, neuronal injury (ATF3), macrophage/microglial (OX-42), and satellite cells/astrocyte (GFAP) markers in central and ganglion tissues in rats that underwent unilateral chronic constriction injury (...
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PMID: 18716207
PDF is available here.
Abstract
We examine the mechanistic underpinnings of calcium dysregulation resulting in calpain activation in the acute neurodegenerative diseases such as cerebral ischemia and in the chronic neurodegenerative diseases including Alzheimer's disease, Parkinson's disease, Huntington's disease, multiple scleros...
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PMID: 18686046
PDF is available here.
Abstract
We may be able to influence. There is a need for education of the medical profession and the general public, so that effective measures are introduced and unnecessary and inappropriate operations minimized....
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PMID: 18434337
PDF is available here.
Abstract
We investigated the effect of direct gradual stretching on the proximal nerve stump morphologically. A 10-mm-long nerve segment was resected from the sciatic nerve of a rat. The end of the proximal nerve stump was fixed to a small ring and the marking suture was placed at a point 1 mm proximal to th...
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PMID: 18327803
PDF is available here.
Abstract
We review the neural control of micturition and how disruption of this control leads to abnormal storage and release of urine....
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PMID: 18490916
PDF is available here.
Abstract
Electrical stimulation with CMAP recording and a stimulating strength of 10 mA successfully localized the femoral nerve in six cases. Monitoring with a stimulating threshold between 0.6 and 1.6 mA predicted postoperative femoral nerve preservation after tumor resection in four of the six cases. CONC...
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PMID: 18408974
PDF is available here.
Abstract
Under laparoscopy, we can clearly identify and preserve the pelvic autonomic nerves to retain genitourinary function in most patients undergoing oncologic resection of sigmoid colon cancer....
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PMID: 18365285
PDF is available here.
Abstract
On the basis of 333 documented cases of permanent perinatal neurological damage, associated with arrest of the shoulders at birth, the authors conducted a retrospective study in order to evaluate the predisposing role, if any, of the utilization of extraction instruments. The investigation revealed...
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PMID: 17906870
PDF is available here.
Abstract
The study suggests that high frequency ultrasound can locate peripheral nerve trauma precisely, assess the impair degree correctly and provide useful information for clinic diagnosis. The high frequency ultrasound brings better diagnosis outcome in limbs nerve tumors than in trunk....
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PMID: 18956714
PDF is available here.
Abstract
Our study suggests that posterior portal techniques described for access to the IGHR are safe; the risk of axillary nerve injury with posteroinferior portals is low, though possible. The axillary pouch portal is relatively farther away from the neurologic structures and provides safer access to the...
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PMID: 18442681
PDF is available here.
Abstract
The search identified 17 eligible series, totaling 1109 patients (538 stenting). Stenting was associated with a significant reduction in mortality (pooled odds ratio 0.36; 95% CI 0.228-0.578; P < .0001) and major neurological injury (pooled odds ratio 0.39; 95% CI 0.25-0.62; P = .0001). There was no...
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PMID: 18242941
PDF is available here.
Abstract
When looking at the population sampled, rates for peripheral nerve injury in people incurring limb trauma are low. Crush injuries seem to have the highest rate of associated nerve injury. Further studies are needed to observe outcomes for people with nerve damage after trauma....
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PMID: 18334923
PDF is available here.
Abstract
We evaluate the various effects that immune cells and signals may have on the survival, proliferation, differentiation and migration/integration of transplanted cells in therapeutic approaches to CNS injury and disease....
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PMID: 18632702
PDF is available here.
Abstract
We favor the PGA (Neurotube) nerve conduit for repair of peripheral and cranial nerve defects because of its advantages in length, price, and availability of clinical data. However, no prospective studies comparing the available nerve conduits have been published....
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PMID: 18437784
PDF is available here.
Abstract
Comparing node negative patients having a sentinel lymph node biopsy with node negative patients having a lymph node dissection of levels I and II of the axilla, we found significant increase in arm volume among the patients who had an axillary dissection. Only minor, but significant, differences in...
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PMID: 17928226
PDF is available here.
Abstract
Results of sciatic nerve injury treatment in this group of war casualties were generally satisfactory. Tibial nerve injury repair in the upper thigh has a higher priority than the peroneal nerve. Motor deficits of the common peroneal nerve can be overcome by tendon transfer or orthopedic devices....
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PMID: 18317136
PDF is available here.
Abstract
When drilling the bicipital tuberosity, we advocate starting at a center-center position on the face of the tuberosity, holding the forearm in maximum supination, and aiming 30 degrees ulnarly to decrease the risk to the PIN. This trajectory does not decrease the bone tunnel length available for imp...
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PMID: 18308182
PDF is available here.