异常的辐射神经神经对双臂:一个病例报告与电生理学确认
Seyed Houssein Saeed-Banadaky1, Milad Gholizadeh1
1Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
概括
一个罕见的案例显示,辐射神经异常地透了双臂肌肉. 这种在手术过程中发现的解剖学变异对上肢手术和神经损伤评估有重大影响.
科学领域:
- 人体解剖学 解剖学 解剖学
- 神经科学是一个神经科学.
- 手术解剖学手术解剖学
背景情况:
- 射线神经通常会刺激后臂和前臂的肌肉.
- 双臂肌主要由肌皮神经进行内化.
- 神经内置的解剖学变化会影响手术结果和诊断.
研究的目的:
- 报告一个新的辐射神经内置到双臂肌肉的新案例.
- 为了研究这种解剖学变异的功能意义.
- 为了突出上肢手术和电生理学的临床相关性.
主要方法:
- 在手臂轴骨折固定过程中异常神经分支的手术内识别.
- 术后神经传导研究 (NCS),包括复合肌动力潜能 (CMAP) 记录.
- 激发辐射神经和肌皮神经,以评估双臂臂的反应.
主要成果:
- 鉴定出了放射神经的一个异常分支,直接激活了双臂肌.
- 辐射神经刺激从双臂肌中引起了一个功能性的CMAP (延迟:2.3毫秒,振幅:0.26mV).
- 肌皮神经刺激产生了明显更强的反应,证实了其主要的内化作用.
- 其他辐射神经内置肌肉中CMAP振幅的降低表明了潜在的并发损伤.
结论:
- 这一案例表明,辐射神经内化到双臂肌肉的罕见解剖变异.
- 在肌皮神经损伤的情况下,这种变异可能提供补偿内置.
- 了解这些异常对于准确的电生理学评估和上肢手术规划至关重要.
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