Aferzon J, Wagle V G, Weiser H C
Department of Neurosurgery, Hartford Hospital, CT 06115.
Conn Med. 1994 May;58(5):265-6.
Root avulsions in brachial plexus injuries are classified as pre- or infraganglionic or post- or supraganglionic. Motor and sensory function is lost in both lesions, but the dorsal root ganglion is intact in preganglionic injuries and, therefore, sensory nerve conduction is spared. Although classified as root avulsion lesions, they are not only anatomically but physiologically and in being amenable to surgical treatment, quite different. We describe a patient with preganglionic injury who had a normal sensory nerve conduction. Surgical option was not available to this patient because of the proximity of the avulsed roots to the spinal cord.
臂丛神经损伤中的神经根撕脱伤分为节前或神经节下型以及节后或神经节上型。两种损伤均会导致运动和感觉功能丧失,但节前损伤时背根神经节完好无损,因此感觉神经传导得以保留。尽管被归类为神经根撕脱伤,但它们不仅在解剖学上,而且在生理上以及是否适合手术治疗方面都有很大不同。我们描述了一名节前损伤患者,其感觉神经传导正常。由于撕脱的神经根靠近脊髓,该患者无法进行手术治疗。