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Contralateral Lumbar to Sacral Nerve Rerouting for Hemiplegic Patients After Stroke: A Clinical Pilot Study
- Source :
- World neurosurgery. 121
- Publication Year :
- 2018
-
Abstract
- Background Spasticity and muscle weakness are common severe neurologic sequelae after stroke. Contralateral peripheral neurotization has been applied successfully to promote motor function of the hemiplegic upper extremity in patients with central neurological injury. To our knowledge, we present the first report of contralateral lumbar to sacral nerve transfer for the lower extremities in hemiplegic patients after stroke. Case Description Two patients were enrolled in the study. The first patient is a 57-year-old man who experienced permanent muscle weakness in his left leg after a right cerebral infarction. The second patient is a 42-year-old man who had spasticity and hemiplegia in both upper and lower limbs on the right side 32 months after a left cerebral hemorrhage. Both patients underwent contralateral lumbar–to–sacral nerve rerouting to improve lower-limb motor function. Twenty months after surgery, both patients experienced significant improvement in ambulatory status. Conclusions Although long-term follow-up and a randomized controlled trial are required, this study demonstrates the safety and possible benefits of contralateral lumbar–to–sacral nerve transfer for hemiplegic patients after stroke. This novel surgical approach could provide a new means for lower-limb motor functional recovery.
- Subjects :
- Adult
Male
medicine.medical_specialty
Hemiplegia
Pilot Projects
law.invention
03 medical and health sciences
0302 clinical medicine
Lumbar
Randomized controlled trial
law
medicine
Humans
Spasticity
Stroke
Nerve Transfer
Cerebral Hemorrhage
Back
business.industry
Cerebral infarction
Neurological Rehabilitation
Muscle weakness
Middle Aged
medicine.disease
Surgery
Peripheral
Spinal Nerves
Muscle Spasticity
030220 oncology & carcinogenesis
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18788769
- Volume :
- 121
- Database :
- OpenAIRE
- Journal :
- World neurosurgery
- Accession number :
- edsair.doi.dedup.....4d0be5d2a50726e8c2865fb200ce7691