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nerve transfer
Indications:
- unilateral spastic arm paralysis from chronic cerebral injury such as stroke or trauma [1]
Procedure:
- nerve transfer from contralateral nonparalyzed side [1]
Notes:
- procedure may improve upper-extremity function & reduce spasticity as early as first postoperative day
- may facilitate such activites as:
- dressing, tying shoes, operating a cell phone [1]
General
neurosurgery
References
- Zheng MX, Hua XY, Feng JT
Trial of Contralateral Seventh Cervical Nerve Transfer for
Spastic Arm Paralysis.
N Engl J Med. Dec 20,2017
PMID: 29262271
http://www.nejm.org/doi/full/10.1056/NEJMoa1615208
- Spinner RJ, Shin AY, Bishop AT
Rewiring to Regain Function in Patients with Spastic Hemiplegia.
N Engl J Med. Dec 20,2017
PMID: 29261362
http://www.nejm.org/doi/full/10.1056/NEJMe1713313