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Then the patient underwent implantation of a spinal cord stimulator, which did produce relief for several years; however, it was removed due to breakage of the electrodes. In addition, she had unsteady gait. Six weeks postop the patient endorsed significant improvement in her ON pain, muscle strength, sensation and balance. On exam: she had pronounced numbness of the left side of the occiput and neck down to the clavicle, but the rest of her exam improved to preoperative baseline.
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Sign In. Advanced Search. Article Navigation. Close mobile search navigation Article Navigation. Volume Garozzo Thieme, ; and, in particular, iii the current issue of Acta Neurochirurgica. The fact that EANS PNS Section has established cooperation with Acta Neurochirurgica as its affiliated journal is much appreciated, as it provides an important fruitful platform for further advancement in the field.
This promising progress obliges us to persevere and think ahead, to the benefit of our patients and the future generations of neurosurgeons. New horizons in the field of peripheral nerve surgery, including brachial plexus surgery, are yet to be reached.
The future development will inevitably involve the application of non-suture techniques of nerve anastomosis and neurotubules, the pharmacological activation and stimulation of nerve regeneration, the expansion of knowledge of neurotropism and neurotrophism, a better understanding of the concept of cell neurosurgery, and further research regarding brain plasticity. A multidisciplinary approach is mandatory, involving genuine collaboration of neurosurgeons, vascular surgeons, plastic surgeons, orthopedics, neurologists, radiologists, physiatricians, psychologists, and psychiatrists.
Thereby, one thing remains constant as an irreplaceable factor regardless of what the world will look like in the future—it is the expertise and the hand of the surgeon. Finally, let me conclude on a personal note. After nearly three decades of experience in peripheral nerve surgery at the Clinic for Neurosurgery at the Clinical Center of Serbia—the experience shaped in unfavorable material conditions, through both civil and, sadly, war practice, including a period of international isolation, but always guided by exemplary expertise—I am happy to say that, if I were to start anew, I would go for peripheral nerve surgery again.
It is a complex and demanding but exciting and rewarding area, which opens new perspectives in the understanding of neurosurgical treatment. I am confident that taking this less traveled road can bring important new advances in the wide world of neurosurgery, surgery, and medicine in general. Skip to main content. Advertisement Hide.
Download PDF. Peripheral nerve surgery: the road less traveled. I shall be telling this with a sigh Somewhere ages and ages hence: Two roads diverged in a wood, and I — I took the one less traveled by, And that has made all the difference. Robert Frost. Friedman AH An eclectic review of the history of peripheral nerve surgery. Neurosurgery A3—A8. Don M.
Long, MD, PhD. Learn more.
Peripheral Nerve Stimulation (Progress in Neurological Surgery, Vol. 24): Medicine & Health Science Books @ giuliettasprint.konfer.eu Set: Progress in Neurological Surgery (Vol. 24 + 29) Stimulation of the Peripheral Nervous System A comprehensive overview of an underrated procedure.
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All Rights Reserved. A total of participants completed 12 weeks in the trial. Some individual patients experienced significant improvement that lasted for years in case series but the data is limited. Protein Structures. Occipital nerve stimulation ONS is one of the invasive techniques that is gaining popularity for treating chronic migraine[ 11 ].
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