Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Post-traumatic distal nerve entrapment syndrome.

T Nassif1, E Steiger

  • 1Department of Reconstructive Microsurgery, Hospital dos Servidores do Estado, Rio de Janeiro, Brazil.

Journal of Reconstructive Microsurgery
|May 5, 1999
PubMed
Summary

Surgical decompression of distal nerve entrapments after trauma significantly improves sensory and motor function in paralyzed limbs. Early intervention, especially before six months post-trauma, yields the best outcomes for peripheral nerve injuries.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Differences in the light-activation of NADP-dependent glyceraldehyde-3-phosphate dehydrogenase and of ribulose-5-phosphate kinase between plants containing the Calvin and those containing the C4-dicarboxylic acid pathway of photosynthetic carbon reduction].

Planta·2014
Same author

Combined intestine and kidney transplantation in a patient with encapsulating peritoneal sclerosis: case report.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2013
Same author

Post placement positional atrial fibrillation and peripherally inserted central catheters.

Minerva anestesiologica·2009
Same author

Endoscopic palliation of malignant gastric outlet obstruction using self-expandable metallic stents: results of a multicenter study.

Endoscopy·2003
Same author

Laparoscopic hernia repair enhances early return of physical work capacity.

Surgical laparoscopy, endoscopy & percutaneous techniques·2001
Same author

Recent developments in home total parenteral nutrition.

Current gastroenterology reports·2000

Area of Science:

  • Neurology
  • Neurosurgery
  • Traumatology

Background:

  • Peripheral nerve injuries following trauma can lead to significant motor and sensory deficits.
  • The
  • double crush syndrome
  • hypothesis suggests that a proximal nerve lesion can impair axonal transport, predisposing a distal site to secondary compression.

Observation:

  • Eleven patients with paralysis after proximal peripheral nerve trauma, without complete nerve disruption, were studied.
  • Patients presented with distal sensory and motor loss, a positive Tinel sign, and pain at distal nerve entrapment sites.
  • Nerve lesions resulted from various traumas including gunshot, motor-vehicle accidents, and tumor excision.

Findings:

  • Surgical release of distal nerve compressions resulted in complete sensory recovery in all patients.

Related Experiment Videos

  • Good-to-excellent motor function (M4/M5) was restored in 63% of cases; 25% had poor motor recovery despite good sensory function.
  • Surgical intervention before six months post-trauma led to significantly better neural function recovery compared to later surgeries (after nine months).

    • Implications:

    • Early surgical decompression of distal nerve entrapments is crucial for optimizing recovery after traumatic peripheral nerve injuries.
    • The findings support the "double crush syndrome" hypothesis in explaining neurogenic paralysis with distal nerve compressions.
    • This study highlights the importance of identifying and treating secondary nerve compressions in patients with traumatic nerve injuries.