The role of somatosensory evoked potentials and nerve conduction studies in the surgical management of brachial plexus injuries

Landi, Andrea; Copeland, Stephen A.; Cb, Parry; Jones, SJ

doi:10.1302/0301-620x.62b4.7430231

Cited by 88 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Root avulsion must be suspected when there has been severe pain soon after the accident, if there is paralysis of the rhomboids, levator scapulae and serratus anterior muscles and if there is Horner's syndrome. We did not have the necessary equipment for recording somatosensory evoked potentials intraoperatively (Landi et al 1980). Surgery, even microsurgery, has limited possibilities in the treatment of brachial plexus injuries.…”

Section: Discussionmentioning

confidence: 99%

Surgery of the brachial plexus

Vastamäki

Strom

1984

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Surgery of the brachial plexus

Vastamäki

Strom

1984

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

“…Somatosensory evoked potentials (SEPs) are obtained by means of stimulation of the distal median, radial and ulnar nerves and recording over the spinous process of C2 and the contralateral somatosensory cortex 31 . No spinal or cortical potential can be elicited in preganglionic lesions, despite their normal peripheral sensory NCV.…”

Section: Electrophysiological and Imaging Evaluationsmentioning

confidence: 99%

Surgical treatment of adult traumatic brachial plexus injuries: an overview

Siqueira

Martins

2011

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Traumatic injuries to the brachial plexus in adults are severely debilitating. They generally affect young individuals. A thorough understanding of the anatomy, clinical evaluation, imaging and electrodiagnostic assessments, treatment options and proper timing of surgical interventions will enable nerve surgeons to offer optimal care to patients. Advances in microsurgical technique have improved the outcome for many of these patients. The treatment options offer patients with brachial plexus injuries the possibility of achieving elbow flexion, shoulder stability with limited abduction and the hope of limited but potentially useful hand function. Key words: brachial plexus injury, surgical treatment, nerve repair.Tratamento cirúrgico das lesões traumáticas do plexo braquial em adultos: uma visão geral RESUMO As lesões traumáticas do plexo braquial em adultos são severamente debilitantes e, em geral, afetam indivíduos jovens. Uma ampla compreensão da anatomia, da avaliação clínica, dos estudos eletrodiagnósticos e por imagem, das opções de tratamento e do momento apropriado para o tratamento cirúrgico irá permitir que o cirurgião de nervos ofereça o tratamento ideal ao paciente. Os avanços na técnica microcirúrgica melhoraram os resultados para muitos desses pacientes. As opções de tratamento oferecem aos pacientes com lesões do plexo braquial a possibilidade de obter flexão do cotovelo, estabilidade do ombro com abdução limitada e a esperança de função limitada mas potencialmente útil da mão. Palavras-chave: lesão do plexo braquial, tratamento cirúrgico, reparo de nervos. Traumatic brachial plexus lesions in adults are devastating injuries. The typical patient is a young man who was injured in a motorcycle accident. These lesions are of great social significance since most of the patients have to face severe residual morbidity after their injuries. The exact number of lesions occurring each year is difficult to ascertain, but it is certainly growing, in parallel with the increasing number of high-speed motor vehicle accidents, especially involving motorcycles.Based on experience with 1,068 patients with brachial plexus injuries, Narakas 1 developed a rule of "seven seventies" that gives an approximate idea of the statistics involved in brachial plexus lesions: approximately 70% of traumatic brachial plexus injuries are secondary to motor vehicle accidents; of these, approximately 70% involve motorcycles or bicycles. Of the cycle riders, approximately 70% have multiple injuries. Overall, 70% have supraclavicular lesions; of these, 70% have at least one root avulsion. At least 70% of patients with a root avulsion also have avulsions of the lower roots (C7, C8 or T1). Finally, of patients with lower root avulsion, nearly 70% will experience persistent pain.

show abstract

“…SEPs are also used for monitoring nerves during peripheral nerve hip, vascular and neurocerebral surgery [9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%