Barisić N, Perović D, Mitrović Z, Jurenić D, Zagar M
Department of Pediatrics, Zagreb University Hospital, Croatia.
Pediatr Neurol. 1999 Jul;21(1):450-5. doi: 10.1016/s0887-8994(99)00027-2.
Eleven children with war-related peripheral nerve injury and 16 children with accident-related nerve injury between the ages of 3 and 15 years were assessed clinically and electromyoneurographically for 1-15 months. Lesions of 32 peripheral nerves were registered in children with war injuries. Children with accidentally acquired injuries had lesions of 27 peripheral nerves. A complete loss of voluntary motor unit potentials and signs of total axonal damage were recorded in the upper arms of seven of 11 children with war injuries and in five of 16 children with accidental injuries. There was a diminished number of motor unit potentials and a reduction in compound muscle action potential amplitudes, indicating partial nerve lesions, in 11 of 16 children with accidental injuries (mostly after humeral fracture) and in three of 11 children with brachial plexus war injuries. Reinnervation signs first occurred after 5-9 months (mean = 6.2 months) in war-injured children receiving conservative treatment and after 2-7 months (mean = 3.4 months) in children with accidentally acquired injuries. War-related peripheral nerve injuries in children are more frequently associated with complete denervation followed by slower or delayed nerve regeneration. In children with accidentally acquired nerve injuries the course is significantly better.
对11名3至15岁与战争相关的周围神经损伤儿童和16名与事故相关的神经损伤儿童进行了1至15个月的临床和肌电图神经图评估。战争受伤儿童中记录到32条周围神经损伤。意外受伤儿童有27条周围神经损伤。11名战争受伤儿童中有7名上臂出现自愿运动单位电位完全丧失和完全轴突损伤的迹象，16名意外受伤儿童中有5名出现此类情况。16名意外受伤儿童（大多为肱骨骨折后）中有11名以及11名臂丛神经战争受伤儿童中有3名运动单位电位数量减少且复合肌肉动作电位幅度降低，表明存在部分神经损伤。接受保守治疗的战争受伤儿童在5至9个月（平均 = 6.2个月）后首次出现神经再支配迹象，意外受伤儿童在2至7个月（平均 = 3.4个月）后出现。儿童与战争相关的周围神经损伤更常伴有完全失神经支配，随后神经再生较慢或延迟。在意外获得性神经损伤的儿童中，病情明显较好。
