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Injection nerve palsy

OBJECTIVE: To study the clinical profile and outcome of surgery for injection nerve palsies. MATERIALS AND METHODS: This is a retrospective study of patients with INP who were treated at our institute during May 2000 to May 2009. Clinical, electroneuromyography (ENMG), and operative findings were no...

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Autores principales: Kakati, Arindhom, Bhat, Dhananjaya, Devi, Bhagavathula Indira, Shukla, Dhaval
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579035/
https://www.ncbi.nlm.nih.gov/pubmed/23546341
http://dx.doi.org/10.4103/0976-3147.105603
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author Kakati, Arindhom
Bhat, Dhananjaya
Devi, Bhagavathula Indira
Shukla, Dhaval
author_facet Kakati, Arindhom
Bhat, Dhananjaya
Devi, Bhagavathula Indira
Shukla, Dhaval
author_sort Kakati, Arindhom
collection PubMed
description OBJECTIVE: To study the clinical profile and outcome of surgery for injection nerve palsies. MATERIALS AND METHODS: This is a retrospective study of patients with INP who were treated at our institute during May 2000 to May 2009. Clinical, electroneuromyography (ENMG), and operative findings were noted. Intraoperative nerve action potential monitoring was not used in any case. Outcome of patients who were followed was reviewed. RESULTS: INP comprised 92 (11%) of 837 nerve injury patients. Seventy one patients were children less than 16 years. The nerves involved were sciatic in 80 patients, radial in 8, and others in four. Fifty seven patients had power, grade 0/5. ENMG studies revealed absent compound muscle action potential in 64 and absent sensory nerve action potential in 67 patients. Thirty nine (42.3%) of 92 patients underwent surgery. The mean duration since injury in these patients was 5.2 months (3 months to 11 months). All underwent neurolysis. Only 18 patients who underwent surgery had a follow up of more than 3 months. Ten (55.5%) patients had good or fair outcome after surgery. Except for grade of motor deficit prior to surgery, none of the variables were found to significantly affect the outcome. CONCLUSION: The outcome of INP is generally good and many patients recover spontaneously. The outcome of surgery is dependent on preoperative motor power.
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spelling pubmed-35790352013-02-28 Injection nerve palsy Kakati, Arindhom Bhat, Dhananjaya Devi, Bhagavathula Indira Shukla, Dhaval J Neurosci Rural Pract Original Article OBJECTIVE: To study the clinical profile and outcome of surgery for injection nerve palsies. MATERIALS AND METHODS: This is a retrospective study of patients with INP who were treated at our institute during May 2000 to May 2009. Clinical, electroneuromyography (ENMG), and operative findings were noted. Intraoperative nerve action potential monitoring was not used in any case. Outcome of patients who were followed was reviewed. RESULTS: INP comprised 92 (11%) of 837 nerve injury patients. Seventy one patients were children less than 16 years. The nerves involved were sciatic in 80 patients, radial in 8, and others in four. Fifty seven patients had power, grade 0/5. ENMG studies revealed absent compound muscle action potential in 64 and absent sensory nerve action potential in 67 patients. Thirty nine (42.3%) of 92 patients underwent surgery. The mean duration since injury in these patients was 5.2 months (3 months to 11 months). All underwent neurolysis. Only 18 patients who underwent surgery had a follow up of more than 3 months. Ten (55.5%) patients had good or fair outcome after surgery. Except for grade of motor deficit prior to surgery, none of the variables were found to significantly affect the outcome. CONCLUSION: The outcome of INP is generally good and many patients recover spontaneously. The outcome of surgery is dependent on preoperative motor power. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3579035/ /pubmed/23546341 http://dx.doi.org/10.4103/0976-3147.105603 Text en Copyright: © Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kakati, Arindhom
Bhat, Dhananjaya
Devi, Bhagavathula Indira
Shukla, Dhaval
Injection nerve palsy
title Injection nerve palsy
title_full Injection nerve palsy
title_fullStr Injection nerve palsy
title_full_unstemmed Injection nerve palsy
title_short Injection nerve palsy
title_sort injection nerve palsy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579035/
https://www.ncbi.nlm.nih.gov/pubmed/23546341
http://dx.doi.org/10.4103/0976-3147.105603
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