外傷性脊髄性下半身完全麻痺に対する外科的治療法の試み : 神経吻合法を中心として(<特集>脳と神経の研究II)

概要

論文の詳細を見る
Successful neuronal regeneration in the distal portion of the spinal cord following its transsection by transposition of the intercostal nerves has been reported in both animal experiments and clinical cases by Freeman. In clinical materials however, none of the cases have survived long enough to actually observe its clinical affect. Neuronal regeneration by the above procedure has been proved only on autopsy cases. Since September 1961, 8 operations were performed for the purpose of observing the actual clinical affects of this operation and fortunately none of the operated cases died in the long-term follow-up period. The surgical operation was limited only to those who had traumatic transsection of the cord at the dorsal of lumber level and were also paraplegic for at least 7 months. Two pairs of intercostal nerves were mobilized and brought down to the level of conus medullaris or lumber 3 rd or 4 th motor nerve roots in the cauda equina. A special nerve anastomosing instrument was used for the anastomosis in all eight cases. Very satisfactory return of motor function was obtained in only one case and return of the knee jerk reflex was seen in only one case. Some of cases have not had a long enough post-operative period to confirm any type of conclusion. It appears that this operation will have a better chance if it is performed, in a relatively early post-traumatic period and in younger persons. There is no further destructive affect to the post-traumatic status following this operation ; therefore, further clinical evaluation with some technical improvement is suggested.
千葉大学の論文
1965-11-28

外傷性脊髄性下半身完全麻痺に対する外科的治療法の試み : 神経吻合法を中心として(<特集>脳と神経の研究II)

スポンサーリンク

概要

著者

関連論文

スポンサーリンク