The clinical practice of reconstructive neurosurgery

Abstract Surgical interventions to improve function following nervous system injury have been in development since the early 1900s. Only recently these have been assimilated into a coherent approach which can be applied to injuries of the brain, spinal cord and peripheral nerves. In addition to phar...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2012-06, Vol.114 (5), p.506-514
Main Authors: Brown, Justin M, Vivio, Nicholas, Sheean, Geoffrey L
Format: Article
Language:English
Subjects:
Brain injury
Central Nervous System Diseases - surgery
Humans
Motor Neurons
Movement Disorders - surgery
Nerve graft
Nerve transfer
Neurology
Neurosurgery
Neurosurgical Procedures - trends
Paralysis - surgery
Peripheral Nerve Injuries - surgery
Peripheral neurotomy
Reconstructive neurosurgery
Reconstructive Surgical Procedures - trends
Recovery of Function
Restorative neurology
Spasticity
Spinal Cord Injuries - surgery
Spinal cord injury
Stroke
Surgical rehabilitation
Tendon transfer
Tendons - innervation
Tendons - surgery
Traumatic brain injury
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Summary:Abstract Surgical interventions to improve function following nervous system injury have been in development since the early 1900s. Only recently these have been assimilated into a coherent approach which can be applied to injuries of the brain, spinal cord and peripheral nerves. In addition to pharmacological and stimulation based interventions, surgical manipulation of the peripheral nerves and muscles of the extremity can offer functional enhancement for a variety of limb impairments. In order to plan an effective surgical intervention, neurophysiological assessment of the injury and residual motor control is essential. Effective implementation of these surgical interventions can enhance function and quality of life for many individuals whose activity has been limited as a result of nervous system injury.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2012.01.036