Every neurosurgeon as well as many surgeons in other disciplines, including plastic and orthopedic surgeons, may unexpectedly be confronted with an entrapment syndrome or a nerve trauma. With a view to preventing costly transfers to expert clinics, this manual for practitioners offers optimized step-by-step figures illustrating how best to approach every relevant nerve lesion. Clear advice is also provided on differential diagnosis from inflammatory neuropathies, which will assist in avoiding false indications for surgery. This is a true manual for practitioners that offers excellent guidance for all surgeons while in the operating theater.
Cuprins
Introduction.- Principles of Macroscopic and Microscopic Anatomy of Peripheral Nerves.- Pathophysiology.- egrees of Nerve Lesion.- Types of Tissue Reaction Following Nerve Lesion.- Clinical Presentation of Nerve Lesion.- Different Types of Pain Following Nerve Lesion.- Principles of Neurophysiologic Diagnosis.- Electroneurography.- Electromyography.- Imaging of Peripheral Nerves.- Sonography.- Magnetic Resonance Imaging.-Principles of Nerve Surgery.- Neurolysis Steps.- Grafting Following Nerve Trauma.- Nerve Entrapment at Shoulder and Arm.- Spinal Accessory Nerve.- Brachial Plexus, Thoracic Outlet Syndrome.- Suprascapular Nerve.- Axillary (Circumflex) Nerve.- Radial Nerve at Upper Arm.- Radial Nerve at Lower Arm.- Posterior Interosseous Nerve Entrapment.- Superficial Radial Nerve Entrapment.- Median Nerve at Elbow.- Median Nerve at Lower Arm.- Anterior Interosseous Nerve Entrapment.- Carpal Tunnel Syndrome.- Ulnar Nerve at Elbow.- Ulnar Nerve at Lower Arm.- Guyon’s Loge Syndrome.- Deep Ulnar Branch Entrapment.- Nerve Entrapment at Trunk and Leg.- Genitofemoral, Ilioinguinal, Iliohypogastric Nerve.- Femoral Cutaneous Nerve.- Obturator Nerve.- Saphenous Nerve.- Infrapatellar Branch of Saphenous Nerve.- Pudendal Nerve.- Sciatic Nerve, Piriformis Syndrome.- Fibular Nerve at Knee Joint.- Fibular Nerve at Ankle, Anterior Tarsal Tunnel Syndrome.- Tibial Nerve.- Tibial Nerve at Ankle, Posterior Tarsal Tunnel Syndrome.- Tibial Nerve at Sole, Morton’s Metatarsalgia.- Non Mechanical Focal Neuropathies.- Parsonage Turner Syndrome.- Multifocal Motorical Neuropathy.- Hereditary Multifocal Neuropathy.- Lewis-Summer-Syndrome (CIDP).- Immune Vasculitis with Focal Neuropathy.
Despre autor
Götz Penkert obtained his MD from the University of Frankfurt in 1973 and later gained his Ph D from the University of Hannover Medical School. After working as a neurosurgeon at the Altona Hospital, Hamburg, he joined the Nordstadt Hospital, Hannover, where he served as Vice Chairman and Assistant Professor from 1987 to 1998. Since 1999 Dr. Penkert has been Professor and Chairman of the Neurosurgical Clinic at the Friederikenstift, Hannover. He is a member of the American Society for Peripheral Nerve and is author of Peripheral Nerve Lesions, published by Springer in 2004. Josef Böhm was born in Tirgu-Mures, Romania, in 1960. He has worked at the Neurological Department, Freiberg since 2000, and in 2002 was appointed Chief of the Department. He holds qualifications from the German Neurophysiological Society and the German Society of Ultrasound Medicine. Dr. Böhm is the author of High-resolution sonography in the diagnosis of peripheral nerve diseases, the course book for the 2 Dresden Training Course on Endoscopic Peripheral Nerve Surgery (2007) and Sonography of peripheral nerves – clinical applications (Toshiba, Visions, 2008). Thomas Schelle was born in Wolfen, Germany, in 1969. Since 2001 he has been Senior Consultant in the Department of Neurology, Dessau-Rosslau Hospital, and in 2006 he became an accredited instructor in electroneurography and electromyography for the German Society for Clinical Neurophysiology and Functional Imaging. In 2010 he received accreditation as a DEGUM course instructor for nerve and muscle sonography.