The anatomical findings in 52 patients undergoing posterior fossa exploration for idiopathic trigeminal neuralgia are described. Anatomical abnormalities in the cerebello-pontine angle were found in 46. The commonest was an arterial loop indenting or distorting the nerve at the root entry zone. In view of this the operative procedure has been changed from root section to microvascular decompres...

This paper describes an unusual case of parasthesia in the medial two fingers of the hand in a 56-yearold lady. MRI suggested a space occupying lesion and on exploration this proved to be a venous malformation causing a pressure neuropathy of the ulnar nerve.

background: two main muscles studied in the hand for evaluation of median nerve injuries are opponens pollicis (op) and abductor pollicis brevis (apb). however, riché-cannieu communicating branch (rccb) may limit the use of these muscles in electrodiagnosis. this condition is confusing in the case of median nerve injuries. this study was conducted to evaluate the prevalence of rccb.   methods: ...

The case histories of two patients who developed an anterior interosseous nerve palsy apparently as a result of an external pressure injury are reported. Both patients recovered fully without surgical exploration, one 19 months and the other nine months after the onset. It is stressed that complete recovery may occur spontaneously.

OBJECTIVE To present and discuss the clinical presentation and treatment in patients with long-duration unilateral facial paralysis and normal magnetic resonance imaging (MRI) findings. DESIGN Case series. SETTING Ear, nose, and throat department of the University of Cologne, Cologne, Germany. PATIENTS A total of 486 patients with unilateral facial paralysis who were treated from 1986 to ...

All pathologic neuromuscular disorders have two common characteristics: (1) they occur as a direct result of damage to nervous tissue (supraspinal, spinal cord or peripheral nerve); and (2) the damage results in a disruption of a feedback loop or communication path between supraspinal structures (brain) or between supraspinal structures and the organs associated with them. These include four se...

We present two children with a diagnosis of upper limb arthrogryposis and report on findings about brachial plexus exploration and a nerve transfer procedure to reanimate elbow flexion. Although the etiology of arthrogryposis multiplex congenita remains unknown and multifactorial, it can be worthful to explore the brachial plexus in the affected upper limb and to perform selective motor nerve t...

Nine cases of hemifacial spasm have been treated by posterior fossa exploration without mortality or significant morbidity. In only three was definite pathology found, but the hemifacial spasm was abolished in eight patients and markedly diminished in the remaining patient. The condition has reccurred in one patient. Microsurgical techniques make the operation safe and accurate. We suggest that...

Brachial plexus injury is a potential complication of a brachial plexus block or vessel puncture. It results from direct needle trauma, neurotoxicity of injection agents and hematoma formation. The neurological presentation may range from minor transient pain to severe sensory disturbance or motor loss with poor recovery. The management includes conservative treatment and surgical exploration. ...

BACKGROUND Previous thyroid or parathyroid surgery induces scarring or distorts anatomy, and increases the risk of recurrent laryngeal nerve (RLN) injury for a reoperation. The benefit of intraoperative nerve monitoring (IONM) for re-exploration (a second nerve exploration) and reoperation has not been established. METHODS Two hundred and ten patients were given a thyroid or parathyroid reope...