Grimm Alexander, Winter Natalie, Kolbenschlag Jonas, Herlan Ste Fan, Stahl Jan-Hendrik, Mayer Johannes, Daigeler Adrien, Schuhmann Martin U
Klinik für Neurologie und Epileptologie, Universitätsklinikum Tübingen, Tübingen, Deutschland.
Klinik und Poliklinik für Neurologie mit Schwerpunkt Epileptologie, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland.
Nervenarzt. 2020 Dec;91(12):1149-1163. doi: 10.1007/s00115-020-01022-8.
Nerve lesions are a frequent and often neglected problem in the daily routine of hospitals and clinical work and necessitate an intensive interdisciplinary treatment. In addition to correct anatomical allocation, the correct timing of the appropriate diagnostics, the timely decision for a possible intervention and the appropriate accompanying treatment are important prerequisites for a favorable prognosis. The basic diagnostics are, above all, neurography and electromyography after a sound clinical examination and documentation. In recent years both high-resolution ultrasound imaging and magnetic resonance imaging (MRI) of nerves have increasingly become established as indispensable diagnostic tools. In addition to describing the electrophysiological and sonographic principles, this article provides insights into surgical procedures, interdisciplinary cooperation and practical approaches.
神经损伤在医院日常工作和临床实践中是一个常见且常被忽视的问题，需要进行深入的多学科治疗。除了正确的解剖定位外，正确的诊断时机、对可能干预措施的及时决策以及适当的辅助治疗，都是获得良好预后的重要前提。基本诊断首先是在完善的临床检查和记录之后进行神经电图和肌电图检查。近年来，高分辨率超声成像和神经磁共振成像（MRI）越来越成为不可或缺的诊断工具。本文除了描述电生理和超声原理外，还介绍了手术操作、多学科合作及实际应用方法。
