
Central Nerve Plexus Injury.
Title:
Central Nerve Plexus Injury.
Author:
Carlstedt, Thomas.
ISBN:
9781860948701
Personal Author:
Physical Description:
1 online resource (191 pages)
Contents:
Contents -- 1. Introduction -- Past and Present -- References -- 2. The Intraspinal Plexus Injury and Its Natural History -- Conclusion -- References -- 3. Surgical Anatomy -- The Brachial Plexus -- The Lumbosacral Plexus and Cauda Equina -- The Root Sheath -- Blood Supply -- The Cervical Nerve Roots -- The Cervical Spinal Cord -- The motor neurons -- The sensory neurons -- The fibre tracts -- Conclusion -- References -- 4. Assessment of Patients with Intraspinal Plexus Injuries -- Clinical Examination -- The brachial plexus -- The lumbosacral plexus -- Ancillary Investigations -- Electrophysiology -- Imaging -- References -- 5. Palliative Peripheral Nerve Procedures for Spinal Root Injuries -- Intraplexus Transfers -- Extraplexus Transfers -- Intercostal Nerve Transfers -- Spinal Accessory Nerve Transfers -- Other Nerves -- Outcome of Nerve Transfers -- End-to-Side or Termino-Lateral Repair -- Lumbosacral Plexus Lesions -- An illustrative case -- Conclusion -- References -- 6. Basic Science of Experimental Root Injuries -- The Transitional Region (TR) -- Degeneration and Regeneration -- Regenerated Function -- Conclusion -- References -- 7. Surgical Exposures and Repairs -- Exposures -- Brachial plexus -- Lumbosacral plexus -- Repairs -- Brachial plexus (see video) -- Lumbosacral plexus -- Conclusion -- References -- 8. Outcome -- Brachial Plexus -- Motor recovery -- Sensory recovery -- Pain -- Illustrative cases of recovery after total brachial plexus avulsion and reimplantation -- Lumbosacral Plexus -- Illustrative cases -- Conclusion -- References -- 9. Conclusion -- The Future -- Rapid death of nerve cells after avulsion trauma -- No sensory recovery of afferent feedback -- Nonspecific reinnervation with synergism and deficient hand recovery -- References -- Index.
Abstract:
This unique volume presents the first successful surgical strategy to repair the spinal root and the associated spinal cord injury that follows from severe traction injuries to the brachial and lumbosacral nerve plexus. The basic science background to this novel surgical technique is described, and the contemporary palliative procedures as well as clinical and ancillary assessments are given together with a meticulous description of the functional outcome of the surgery. Covering the research that led to the author's pioneering application of this surgical technique to the clinical human situation, the book provides a comprehensive overview of the author's work as a leading basic scientist and nerve surgeon. It is a journey from ideas born in the laboratory to successful application to a difficult human problem involving loss of function and severe pain from a certain type of spinal cord injury. The first step leading to the treatment of a severe and devastating spinal cord injury has been taken and is described in this book.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Genre:
Electronic Access:
Click to View