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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Carlstedt, Thomas Misra, V. Peter Papadaki, Anastasia McRobbie, Donald Anand, Praveen |
| Description | Country affiliation: Sweden Author Affiliation: Carlstedt T ( Department of Hand Surgery, Sodersjukhuset, Karolinska Institute, Stockholm, Sweden. carlstedt.thomas@googlemail.com) |
| Abstract | Motor but not sensory function has been described after spinal cord surgery in patients with brachial plexus avulsion injury. In the featured case, motor-related nerve roots as well as sensory spinal nerves distal to the dorsal root ganglion were reconnected to neurons in the ventral and dorsal horns of the spinal cord by implanting nerve grafts. Peripheral and sensory functions were assessed 10 years after an accident and subsequent spinal cord surgery. The biceps stretch reflex could be elicited, and electrophysiological testing demonstrated a Hoffman reflex, or Hreflex, in the biceps muscle when the musculocutaneous nerve was stimulated. Functional MR imaging demonstrated sensory motor cortex activities on active as well as passive elbow flexion. Quantitative sensory testing and contact heat evoked potential stimulation did not detect any cutaneous sensory function, however. To the best of the authors' knowledge, this case represents the first time that spinal cord surgery could restore not only motor function but also proprioception completing a spinal reflex arch. |
| File Format | HTM / HTML |
| ISSN | 00223085 |
| e-ISSN | 19330693 |
| Journal | Journal of Neurosurgery |
| Issue Number | 2 |
| Volume Number | 116 |
| Language | English |
| Publisher | American Association of Neurological Surgeons |
| Publisher Date | 2012-02-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Neurosurgery Brachial Plexus Neuropathies Surgery Brachial Plexus Injuries Radiculopathy Recovery Of Function Physiology Spinal Nerve Roots Afferent Pathways Physiopathology Efferent Pathways Spinal Cord |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Neurology (clinical) Surgery |
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