China
Africa
Explore chapters and articles related to this topic
Peripheral nerve disorders
Published in Michael Y. Wang, Andrea L. Strayer, Odette A. Harris, Cathy M. Rosenberg, Praveen V. Mummaneni, Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 2017
Neurolysis—Circumferential dissection of the nerve. Done as the first part of a procedure. If an nerve action potential (NAP) is obtained across a neuroma in continuity, neurolysis alone is performed. Ninety percent of patients obtain favorable outcome at long-term follow-up.
Thoracic outlet syndromes
Published in Larry R. Kaiser, Sarah K. Thompson, Glyn G. Jamieson, Operative Thoracic Surgery, 2017
Hugh A. Gelabert, Erdogan Atasoy
The T1 nerve root is identified with a nerve stimulator. Once identified, neurolysis is performed by carefully clear- ing the nerve of investing scar tissue using magnification and micro scissors. With cephalad extension of the incision, neurolysis may be performed on the C7 and C8 nerve roots as well. (See Figure 5.3c.)
Pain and Its Management in Older Adults
Published in K. Rao Poduri, Geriatric Rehabilitation, 2017
Annie Philip, Diya Goorah, Rajbala Thakur
These modalities can be helpful for specific pain indications as listed in Table 12.5. These include injections of local anesthetics with or without steroids in addition to chemical or thermal neurolysis. These interventions serve a diagnostic as well as a therapeutic purpose. Overall advantage in clinical practice is possible pain relief while minimizing intolerable medication-related side effects.
Peroneal neuropathy and bariatric surgery: untying the knot
Published in International Journal of Neuroscience, 2020
Mohamad Y. Fares, Zakia Dimassi, Jawad Fares, Umayya Musharrafieh
Therapeutic modalities for this condition should be specific to each individual case. However, two approaches have been proposed as the best choice for therapy: a conservative approach and a surgical approach [21]. The conservative approach includes physical therapy, and vitamin and nutrition supplementation to replenish any vitamin deficiencies [23]. In the case where symptoms remain persistent, surgery can be done to relieve pain and improve outcomes [16,22]. Surgical techniques and time of intervention differ according to the nature of the presenting case. Neurolysis often yields the best outcome when compared to other surgical techniques. End-to-end suture repair is considered preferable to graft repair, and shorter grafts provide better outcomes [36]. That being said, one should not delay treatment since the probability of irreversible neurological damage increases with time [21].
Meralgia paresthetica: finding an effective cure
Published in Postgraduate Medicine, 2020
Two surgical interventions may be used in MP: Neurolysis and Neurectomy, but both have their advantages. In neurolysis, the surgeon tries to release the nerve from compression along its course. There are some challenges with this approach, most notably the variable course of the nerve and the location of the compression. One of the most common methods is threefold; the first is to sever the inguinal ligament overlying the LFCN, then to cut the iliac fascia underlying the nerve, and last to cut distally along the thigh fascia for each division [52–55]. Success rate following this procedures varies with reports ranging from as low as 60% to as high as 99% [46] with most studies reporting an average of 80% success rate [52–55]. Although the success rate is not very high, this approach carries the main advantages of no sensory loss following the procedures due to preserving the nerve.
Practice patterns for the treatment of acute proximal hamstring ruptures
Published in The Physician and Sportsmedicine, 2020
Nicholas Pasic, J. Robert Giffin, Ryan M. Degen
The approach respondents took to the sciatic nerve was consistent with current literature. The majority performed neurolysis only if symptoms were present pre-operatively. However, respondents felt that on average only 18% of patients presented with sciatic nerve symptoms. This rate is higher than a previous study by Subbu et al. that reported sciatic nerve symptoms in 11% of patients, but lower than the rate reported by Wilson et al. who reported that ~28% of patients with acute ruptures had sciatic nerve-related symptoms [15,20]. In the latter study, they advocate that nerve symptoms are likely under-recognized, with symptoms presenting in a variety of ways with a mix of motor weakness, sensory changes and neuropathic pain [20]. This illustrates the importance of a thorough pre-operative physical exam documenting sciatic nerve function.