Vieweg U, Vitzthum H E, Dietzmann K, Schmitt J A
Abteilung für Neurochirurgie, Medizinischen Akademie Magdeburg.
Zentralbl Neurochir. 1989;50(1):30-3.
The deviation from anatomically described innervation can often occur. It is mainly described on muscles of the limbs. Constant attention should give to this fact during the process of diagnosis of peripheral nerve lesions. Electrophysiological methods (EMG, ENG with blockade of nerve, collision technique and simultaneous lead) can help to detect this anomalies. Double innervation, abnormal innervation and communications among nerves are causes of anomalies of innervation. The fact of communications of fibers among nerves is better called "nerve communication" than "nerve anastomosis". It is vague whether this anomalies of innervation are embryological malformations or reactions of adaptation after different diseases.
与解剖学描述的神经支配的偏差经常会出现。主要见于四肢肌肉。在周围神经损伤的诊断过程中应始终关注这一事实。电生理方法(肌电图、神经阻滞时的神经电图、碰撞技术和同步导联)有助于检测这种异常。双重神经支配、异常神经支配以及神经之间的交通是神经支配异常的原因。神经纤维之间的交通这一事实称为“神经交通”比“神经吻合”更合适。这种神经支配异常是胚胎发育畸形还是不同疾病后的适应性反应尚不清楚。