Posts Tagged peripheral nerve
August 25, 2015 · by NEUROSURGERY® Editorial Office · in Editor Choice. ·
The optimal refinement in nerve repair techniques has reached a plateau, making it imperative to continually explore newer avenues for improving the clinical outcome of peripheral nerve regeneration. The aim of this short review is to discuss the role and mechanism of brain plasticity in nerve regeneration, as well as to explore the possible application of this knowledge for improving the clinical outcome following nerve repair.
From: Role of Central Plasticity in the Outcome of Peripheral Nerve Regeneration by Mohanty et al.
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[ARTICLE] New therapeutic option for drop foot with the ActiGait peroneal nerve stimulator – A technical note
- -Drop foot due to a peripheral nerve injury should be excluded before surgery
- -Exact planning of implants’ position ensures a comfortable handling of the device
- -Strainless implantation of the cable to avoid nerve injury due to tug at the nerve
A drop foot occurs in up to 20% of stroke patients and leads to an increased risk of falls. Until recently, only a foot orthosis or surface stimulation were able to improve the gait of these patients. Recent studies have shown that direct peroneal nerve stimulation with an implantable four-channel peroneal nerve stimulator (ActiGait) allows independent electrode adjustment and leads to better functional results and an improved quality of life. The application of this therapeutic option is restricted to patients with a drop foot attributable to a lesion of the first motor neuron caused by stroke, multiple sclerosis or tumors.In this paper, we present the first technical note with possible pitfalls of the surgical procedure and the perioperative care after implantation of ActiGait drop foot stimulators in 50 patients.