First experience of second trunks of plexus brachialis neurotization with С7 first trunk from opposite side at total unilateral С5—Th1 injury

Authors

  • Yu. S. Lisaichuk Medical Institute of Ukrainian Association of Folk Medicine, Kiev, Ukraine
  • N. A. Sapon Romodanov Neurosurgery Institute, Kiev, Ukraine https://orcid.org/0000-0001-8775-9033
  • L. N. Pavlichenko Medical Institute of Ukrainian Association of Folk Medicine, Kiev, Ukraine
  • O. A. Goncharuk Medical Institute of Ukrainian Association of Folk Medicine, Kiev, Ukraine
  • N. B. Pavlus Medical Institute of Ukrainian Association of Folk Medicine, Kiev, Ukraine
  • N. M. Pakhalchuk Medical Institute of Ukrainian Association of Folk Medicine, Kiev, Ukraine

Keywords:

brachial plexus, avulsion intradural, C7 primary trunk, contralateral orthotopic neuroticism

Abstract

Results of first 7 operations on second trunks of plexis brachialis neurotization with С7 first trunk from patient’s opposite (healthy) side.

Operation was done only in case of total plexus brachialis injury with verified С5, С6, С7, С8, Th1, roots interruption with clearly defined motor, trophic dysfunctions, dysaesthesia and pain syndrome.

Operative technique is reported in detail and evaluation of its results in 4 patients in 18th-month period is done.

References

Лурье А.С. Хирургия плечевого сплетения. — М.: Медицина — 1968. — 224 с.

Allieu Y. Neurotization via the spinal accessory nerve in complete paralysis due to multiple avulsion injuries of the brachial plexus // Clin. Orthop.— 1988.—V.67.—P.237.

Alnot J. The Spinal Accessory Nerve // Traumatic Brachial Plexus Injuries, Paris: Expansion Scientifique Francaise. — 1996. — P.33—38.

Chen L. An experimental study of the contraleteral C7 root transfer with vascularized nerve grafting to treat brachial plexus root avulsion //J. Hand Surg. (Br.). — 1994.—V.19. —P.60.

Gu Y.D. Cervical nerve root transfer from contralateral normal side for treatment of brachial plexus root avultions // Chin. Med. J. (Engl.). — 1991.— V.104. — P.208.

Gu Y.D. Use of phrenic nerve for brachial plexus reconstruction //Clin. Orthop. — 1996.— V.323. —P. 119.

Jesus G.B. Efficacy of Intervention Strategies in a Brachial Plexus Global Avulsion Model in the Rat // Plastic and reconstructive surgery. — 2000.—V.105, №6. — P.17—23.

Narakas A.O. Neurotisation by the Hypoglossal Nerve // Presented at the International Sosiety of Reconstructive Microsurgery. — Vienna, June 5—8, 1993.— P.107—108.

Taber K.H. Sectional Neuroanatomy of the upper limb 1: Brachial Plexus // J. of Computer Assisted-Tomography. — 2000. — V.24, №6. — P.77—81.

Terzis J.K. Experience with Selective Contra­lateral C7 Technique in Fifty Cases of Devastating Brachial Plexus Paralysis. Presented at the Annual Meeting of the American Sosiety for Surgery of the Hend. Nashville, Tenn., September 30—October 3, 1996.— P.116—117.

How to Cite

Lisaichuk, Y. S., Sapon, N. A., Pavlichenko, L. N., Goncharuk, O. A., Pavlus, N. B., & Pakhalchuk, N. M. First experience of second trunks of plexus brachialis neurotization with С7 first trunk from opposite side at total unilateral С5—Th1 injury. Ukrainian Neurosurgical Journal, (1), 94–98. Retrieved from https://theunj.org/article/view/104185

Issue

Section

Original articles