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选择性神经转移以恢复急性软骨髓炎的肩膀绑架和曲:一个案例报告

Yusha Liu¹, Benjamin B Massenburg¹, Catherine E Otten²

¹Division of Plastic Surgery, University of Washington, Seattle, Washington, USA.

|August 30, 2023

概括

急性松性脑膜炎 (AFM) 可以导致. 具有高度选择性的神经移植,如双带移植,可以在患有AFM的儿童中恢复肩部功能,从而保持现有的神经功能.

科学领域:

神经学神经学
神经外科神经外科
儿科整形外科儿科整形外科

背景情况:

急性松性脑膜炎 (AFM) 是一种影响儿童的衰弱性神经疾病,其特征是突然的不对称性.
早期手术干预,特别是神经移植,为AFM患者的功能恢复提供了潜在的途径.

研究的目的:

在患有AFM的儿童中呈现高度选择性神经转移的案例.
为了评估双神经转移到股神经和脊柱辅助神经转移的有效性.

主要方法:

一个患有AFM的5岁女孩经历了双重带神经转移 (中枢和部转移到股神经) 和脊柱辅助神经转移.
术后评估包括功能评分和运动范围测量.

主要成果:

患者在2年内在肩膀移动和曲方面取得了显著的改善 (活跃运动量表7/7).
在手术前,肩部拉开的情况从30°提高到90°,曲的情况从15°提高到180°.
在捐赠神经区域没有观察到功能丧失.

结论:

具有高度选择性的神经移植可以有效地恢复儿童AFM患者的肩部功能.
双带转移为功能恢复提供了足够的轴突,同时保留了捐赠神经的功能.

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