NEUROGRAPHIC COURSE OF WALLERIAN DEGENERATION AFTER HUMAN PERIPHERAL NERVE INJURY

Eder, Maria and Schulte-Mattler, Wilhelm and Poeschl, Peter (2017) NEUROGRAPHIC COURSE OF WALLERIAN DEGENERATION AFTER HUMAN PERIPHERAL NERVE INJURY. MUSCLE & NERVE, 56 (2). pp. 247-252. ISSN 0148-639X, 1097-4598

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Abstract

Introduction: Neurographic data on Wallerian degeneration (WD) after motor nerve injury are available only from animal studies and human case reports of 9 patients altogether. A precise knowledge of neurographic features of WD would be highly relevant for diagnostic, prognostic, therapeutic, and forensic aspects of traumatic lesions. Methods: We prospectively studied WD in patients with a peripheral nerve injury. They underwent sequential neurographic examinations beginning no later than 3 days after the injury until a plateau of the amplitude of compound muscle action potential was reached. Results: We examined 20 injured nerves from 16 patients. Four days after injury, all nerves showed amplitude decay to some extent, whereas 85% had reached their plateau at day 8. A length dependency of WD could be demonstrated. Conclusion: In humans, WD starts no later than day 4, shows length dependency, and is completed at day 8 in most nerves.

Item Type: Article
Uncontrolled Keywords: CONDUCTION; SECTION; FIBERS; MUSCLE; axonal lesion; neurography; peripheral nerve; trauma; Wallerian degeneration
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:16
Last Modified: 12 Feb 2019 14:39
URI: https://pred.uni-regensburg.de/id/eprint/1458

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