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Related Concept Videos

Cranial Nerves: Types Part I01:14

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
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Related Experiment Video

Updated: Jul 2, 2025

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery
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[Contralateral C7 Nerve Transfer].

Jörg Bahm1, Justus P Beier2, Benedikt Schäfer1

  • 1Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Sektion für Plexuschirurgie, Universitätsklinikum Aachen, Aachen, Germany.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|February 26, 2024
PubMed
Summary

Contralateral C7 root transfer offers a viable solution for severe brachial plexus injuries when intraplexic reconstruction is not possible. This technique utilizes a high-axon donor nerve to restore function, improving patient outcomes.

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Area of Science:

  • Neurosurgery
  • Reconstructive Surgery
  • Peripheral Nerve Injury

Context:

  • Complex brachial plexus injuries often involve multiple or complete root avulsions, precluding intraplexic reconstruction.
  • Extraplexic nerve donors like the spinal accessory nerve or intercostal nerves are typically considered.
  • The contralateral C7 root presents a unique donor option due to its substantial axon count.

Purpose:

  • To review the indications, surgical techniques, and functional outcomes of contralateral C7 nerve root transfer for brachial plexus injuries.
  • To present case examples and a literature review on this specific reconstructive approach.

Summary:

  • Contralateral C7 nerve root transfer is indicated for complex brachial plexus injuries where intraplexic repair is not feasible.
  • The procedure involves transferring the contralateral C7 root, a donor with abundant axons, to reconstruct the injured plexus.
  • Surgical techniques and functional results are evaluated based on case studies and existing literature.

Impact:

  • Provides an alternative reconstructive strategy for severe brachial plexus injuries.
  • Offers potential for improved functional recovery in cases with limited intraplexic options.
  • Contributes to the understanding and application of extraplexic nerve donors in peripheral nerve surgery.