engleski

Assesment of War and Accidental Nerve Injures in Children

Eleven children with war-related peripheral nerve injury and 16 children with accidental-related nerve injury between the ages od 3 and 15 years were assesed clinicaly and electromyoneurographycally for 1-15 months. Lesions of 32 peripheral nerves were registered in children with war injures. Children with accidentally acquared injuries had lesions of 27 peripheral nerves. A complete loss of voluntary motor unit potentials and signs of total axonal damage were recordered in the upper arms of seven of 11 children with war injuries and five of 16 children with accidental injures. There was a diminihed number of motor unit potentials and reduction in compound muscle action potential amplitudes, indicating partial nerve lesions in 11 of 16 children with accidental injuries (mostly after humeral fracture) and in three of 11 children with brachial plexus war injuries. Reinnervation signs first occured after 5-9 months (mean=6.2 months) in war-injuries children receiving conservative treatment and after 2-7 months (means=3.4 months) in children with accidentally acquired injuries. War-related peripheral nerve injuries in children are more frequently associated with complete denervation foloowed by slower or delayed nerve regeneration. In children with accidentally acquired nerve injuries the course is significantly better.

nije evidentirano

nije evidentirano