Paresis of One Limb

Lorenz, Michael D.

doi:10.1016/b978-1-4377-0651-2.10005-0

Cited by 10 publications

(24 citation statements)

References 31 publications

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“…Bei der Schädigung eines peripheren Nerven wird in Anlehnung an Seddon (83) zwischen Neurapraxie, Axonotmesis und Neurotmesis unterschieden. Dabei bestimmt der Anteil der zerstörten anatomischen Strukturen die Regenerationsdauer und die Prognose (59,83).…”

Section: Einschätzung Des Schädigungsgrades Der Neuronalen Strukturenunclassified

Lähmungen vom peripheren Typ im Gliedmaßenbereich des Rindes

Kretschmar

Kaiser²,

Brehm³

et al. 2017

Tierarztl Prax Ausg G

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ZusammenfassungDie zweiteilige Arbeit bietet eine Übersicht über Lähmungen vom peripheren Typ im Gliedmaßenbereich des Rindes, die bei dieser Tierart den Hauptteil aller neurologischen Erkrankungen ausmachen und meist infolge eines Traumas peripherer Nerven auftreten. Erläutert werden deren Vorkommen, Ätiologie, Diagnostik, Prognose und Therapie. Im vorliegenden zweiten Teil dieser Übersichtsarbeit wird zunächst auf die für die Diagnostik relevanten anatomischen Grundlagen, die Lokalisation einer Schädigung neuronaler Strukturen innerhalb des unteren Motoneurons sowie die Klassifizierung der Schädigung peripherer Nerven eingegangen. Des Weiteren werden weiterführende diagnostische Verfahren dargestellt und die Einschätzung der Prognose, therapeutische Vorgehensweisen sowie Ansätze zur Prävention diskutiert.

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Section: Einschätzung Des Schädigungsgrades Der Neuronalen Strukturenunclassified

Lähmungen vom peripheren Typ im Gliedmaßenbereich des Rindes

Kretschmar

Kaiser²,

Brehm³

et al. 2017

Tierarztl Prax Ausg G

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“…The cutaneous area includes a peripheral overlap zone innervated by other cutaneous nerves and a central autonomous zone innervated solely by that nerve. These zones can be detected clinically using a method termed the ''two-step pinch technique'' [6] . The motor deficits associated with brachial plexus injury were accepted as the major clinical signs for determining affected nerve.…”

Section: Methodsmentioning

confidence: 99%

“…The clinician should be familiar with these autonomous zones. With brachial plexus injuries, there may be inconsistency in patterns of sensory versus motor deficits as the ventral nerve roots appear to be more susceptible to damage than the dorsal roots [6] . Reports for electrophysiological examinations of dogs and cats are limited in number [9] .…”

Section: Introductionmentioning

confidence: 99%

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Travmatik Brakial Pleksus Yaralanmalarının Klinik ve Elektrofizyolojik Olarak Değerlendirilmesi: 23 Köpek ve 42 Kedide Retrospektiv Bir Çalışma

Beşaltı¹,

Can²,

Çalışkan³

2014

Kafkas Univ Vet Fak Derg

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Objective of this study is to report mapping of nerve root injury with clinical and electrophysiological examination in cats and dogs following trauma of brachial plexus (TBP). Medical record of 65 patients (23 dogs and 42 cats) with brachial plexus injury without any fracture between July 2009 and January 2014 were reviewed. Needle electromyography, motor nerve conduction and/or sensory nerve conduction and somatosensory evoked potentials (SEP) of the forelimb were studied. Injured area was examined at necropsy in 3 cases (1 dog, 2 cats), and in 11 cases (4 dogs, 7 cats) during surgery. Assessment of cutaneous zone innervation revealed caudal brachial plexus lesion in 40 cases (29 cat and 11 dogs) and complete brachial plexus lesions in 25 cases (13 cats, 12 dogs). Nociception was also absent at the denervated cutaneous zone in all cases. Complete avulsion of isolated radial nerve roots was diagnosed in 11 cats and 5 dogs, and injury of isolated radial nerve roots was diagnosed in 4 dogs and 11 cats. Rest of the cases had complete avulsion (17 cats, 14 dogs) or injury (3 cats) of radial nerve roots in addition to other nerves' of the brachial plexus. In conclusion, Radial nerve roots prone to TBP, but other nerve roots of brachial plexus can also be affected. Electrophysiological assessment of TBP should be carried out as an ancillary diagnostic tool for determining affected nerves and type of lesion for radial nerve. Keywords: Brachial plexus injury, Trauma, Electrophysiology, Dog, Cat Travmatik Brakial Pleksus Yaralanmalarının Klinik ve Elektrofizyolojik Olarak Değerlendirilmesi: 23 Köpek ve 42 Kedide Retrospektiv Bir Çalışma ÖzetBu çalışmanın amacı kedi ve köpeklerde brakial pleksus travmasını takiben oluşan sinir kökü hasarının klinik ve elektrofizyolojik muayene ile haritalanmasını bildirmektir. Çalışmada herhangi bir kırığa bağlı olmaksızın gelişen brakial pleksus yaralanması ile Haziran 2009 ve Ocak 2014 arasında kliniğimize başvuran 65 hastanın (23 köpek, 42 kedi) medikal kayıtları incelendi. Elektrofizyolojik olarak iğne elektromyografi, motor sinir iletimi ve/veya sensorik sinir iletimi ve somatosensorik uyandırılmış potansiyeller çalışıldı. Hasarlı bölge üç hastada (1 köpek, 2 kedi) nekropside, 11 hastada ise (4 köpek, 7 kedi) cerrahi girişim sırasında incelendi. Kutanöz innervasyon alanlarının değerlendirilmesi sonucunda 40 olguda (29 kedi, 11 köpek) kaudal ve 26 olguda (14 kedi, 12 köpek) total brakial pleksus yaralanması belirlendi. Ayrıca bütün olgularda denerve kutanöz alanlarda nosisepsiyon yoktu. On bir kedi ve 5 köpekte izole radial sinir köklerinin total avulziyonu belirlendi. Dört köpek ve 11 kedide izole radial sinir kökü hasarı tespit edildi. Geriye kalan vakalarda radial sinir ile birlikte diğer brakial pleksus sinirlerinin total avulziyonu (18 kedi, 14 köpek) ya da hasarı (3 kedi) belirlendi. Sonuç olarak, brachial pleksusu oluşturan sinirlerden radial sinir travmatik olarak en çok yaralanan olsa da diğer sinirlerin de yaralanması söz konusudur. Travmatik brakial pleksus lezyonl...

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“…Despite this, the owners opted for limb amputation due to financial constraints. Additionally, this was the surgical option which optimized outcome, as early aggressive surgical treatment (limb amputation) has been reported to extend patient survival (Lorenz et al 2011). The nerves were resected as proximally as possible, with a minimum of 3 cm margins, in order to minimize the risk of tumour regrowth due to incomplete resection.…”

mentioning

confidence: 99%