Functional assessment of C-5 ventral rootlets by intraoperative electrical stimulation of the supraclavicular segment of the long thoracic nerve during brachial plexus surgery

Journal of Neurosurgery

Volumn 108, Issue 3, 2008, Pages 533-540

  Flores, Leandro Pretto ^a,b  

^a HOSPITAL DE BASE DO DISTRITO FEDERAL   (Brazil)

^b NONE   (Brazil)

Author keywords

Brachial plexus surgery; Intraoperative monitoring; Long thoracic nerve; Root avulsion

Indexed keywords

ADULT; ARTICLE; BRACHIAL PLEXUS; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROPHYSIOLOGY; ELECTROSTIMULATION; FEMALE; FUNCTIONAL ASSESSMENT; HUMAN; MALE; MUSCLE CONTRACTION; NERVE; NERVE INJURY; NEUROMA; NEUROSURGERY; PATIENT MONITORING; PRIORITY JOURNAL; SPINAL NERVE; SPINE INJURY; SURGICAL TECHNIQUE;

ADOLESCENT; ADULT; BRACHIAL PLEXUS; CERVICAL VERTEBRAE; CLAVICLE; ELECTRIC STIMULATION; FEASIBILITY STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PROSPECTIVE STUDIES; RADICULOPATHY; SPINAL NERVE ROOTS; THORACIC NERVES;

EID: 40549120156     PISSN: 00223085     EISSN: 00223085     Source Type: Journal    
DOI: 10.3171/JNS/2008/108/3/0533     Document Type: Article

References (18)

1. Alnot JY: Traumatic brachial plexus lesions in the adult. Indications and results. Hand Clin 11:623-631, 1995
2. Amrami KK, Port JD: Imaging the brachial plexus. Hand Clin 21:25-37, 2005
3. Bertelli JA, Guizoni MF: Long thoracic nerve: anatomy and functional assessment. J Bone Joint Surg Am 87:993-998, 2005
4. Bertelli JA, Guizoni MF: Use of clinical signs and computed tomography myelography findings in detecting and excluding nerve root avulsion in complete brachial plexus palsy. J Neurosurg 105:835-842, 2006
5. Carvalho GA, Nikkhan G, Matthies C, Penkert G, Samii M: Diagnosis of root avulsion in traumatic brachial plexus injuries: value of computed tomography myelography and magnetic resonance imaging. J Neurosurg 86:69-76, 1997
6. Flores LP: [Epidemiological study of the traumatic brachial plexus injuries in adults.] Arq Neuropsiquiatr 64:88-94, 2006 (Port)
7. Haerer AF: Motor strength and power, in Haerer AF (ed): DeJong's The Neurological Examination, ed 5. Philadelphia: JB Lippincott Company, 1992, pp 335-375
8. Herzberg G, Narakas A, Comtet JJ, Bouchet A, Carret JP: Microsurgical relations of the roots of the brachial plexus. Ann Chir Main 4:120-133, 1985
9. Horwitz MT, Tocantins LM: An anatomic study of the role of the long thoracic nerve and the related scapular bursae in the pathogenesis of local paralysis of the serratus anterior muscle. Anat Rec 71:375-385, 1938
10. Kim DH, Murovic JA, Tiel RL, Kline DG: Mechanisms of injury in operative brachial plexus lesions. Neurosurg Focus 16(5):E2, 2004
11. Malessy MJ, Thomeer RT, Marani E: The dorsoscapular nerve in traumatic brachial plexus lesions. Clin Neurol Neurosurg 95(Suppl):17-23, 1993
12. Malessy MJ, van Duinen SG, Feirabend HK, Thomeer RT: Correlation between histopathological findings in C-5 and C-6 nerve stumps and motor recovery following nerve grafting for repair of brachial plexus injury. J Neurosurg 91:636-644, 1999
13. Moran SL, Steinmann SP, Shin AY: Adult brachial plexus injuries: mechanism, patterns of injury and physical diagnosis. Hand Clin 21:13-24, 2005
14. Mumenthaler M: Some clinical aspects of peripheral nerve lesions. Eur Neurol 2:257-268, 1969
15. Narakas AO: Thoughts on neurotization or nerve transfers in irreparable nerve lesions, in Terzis JK (ed): Microreconstruction of Nerve Injuries. Philadelphia: WB Saunders, 1987, pp 447-454
16. Sugioka H, Tsuyama N, Hara T, Nagano A, Tachibana S, Ochiai N: Investigation of brachial plexus injuries by intraoperative cortical somatosensory evoked potentials. Arch Orthop Trauma Surg 99:143-151, 1982
17. Tubbs RS, Salter EG, Custis JW, Wellons JC III, Blount JP, Oakes WJ: Surgical anatomy of the cervical and infraclavicular parts of the long thoracic nerve. J Neurosurg 104:792-795, 2006
18. Turkof E, Millesi H, Turkof R, Pfundner P, Mayr N: Intraoperative electroneurodiagnosis (transcranial electrical motor evoked potentials) to evaluate the functional status of anterior spinal roots and spinal nerves during brachial plexus surgery. Plast Reconstr Surg 99:1632-1641, 1997