Muscle and nerve biopsy for the neurosurgical trainee.
Br J Neurosurg
; 27(6): 727-34, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-23675830
ABSTRACT
BACKGROUND:
Nerve and muscle biopsy are common procedures often performed by junior surgical trainees. This educational review article describes the operative details of performing biopsies of muscle and nerve. Indications, pre-operative investigations and complication rates are described to aid in proper patient selection.METHODS:
A systematic literature review was performed to identify the indications, surgical techniques and results for nerve and muscle biopsy.RESULTS:
The most commonly described techniques involve vastus lateralis muscle, distal sural nerve, median sural nerve/gastrocnemius muscle, superficial peroneal nerve/peroneus brevis muscle and superficial radial nerve. Each technique has its own relative merits and intra-operative anatomical nuances. The yield from each of the techniques varies with the indications and patient selection. Complication rates are low but do vary between the techniques.CONCLUSIONS:
Judicious use of pre-operative investigations is required to select out patients whose nerve and muscle biopsy justifies the risk of complications. A thorough knowledge of relevant surgical anatomy and correct specimen handling is paramount to achieving optimal results while avoiding complications.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Biópsia
/
Músculo Esquelético
/
Sistema Nervoso
/
Neurocirurgia
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article