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Diagnoseverfahren

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Nervenchirurgie

Zusammenfassung

Die sorgfältige Erhebung der Krankengeschichte markiert in der Regel die erste Begegnung mit dem Patienten. Dieser Erstkontakt bietet die große Chance, die Probleme und Beschwerden des Patienten unvoreingenommen erfassen zu können. Häufig können die Patienten den Hergang der Krankengeschichte sehr präzise schildern und Zusammenhänge, die aus Befundberichten oder Arztbriefen nie hervorgehen würden, aus ihrer „subjektiven“ Sicht darlegen. Diese Informationen sind wichtig und dienen als Grundraster, um alle folgenden „objektiven“ Befundberichte (Operationsberichte, Arztbriefe etc.) einordnen zu können.

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-642-36895-0_11

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Literatur

Literatur zu ▶ Abschn. 2.1

  • Buck-Gramcko D, Lubahn JD (1993) The Hoffmann-Tinel sign (1915). J Hand Surg (Edinburgh, Scotland) 18 (6): 800–805

    Article  Google Scholar 

  • Dyck PJ, Boes CJ, Mulder D, Milikan C, Windebank AJ, Dyck PJ, Espinosa R (2005) History of standard scoring, notation and summation of neuromuscular signs. A current survey and recommendation. J Peripher Nerv Syst 10: 158–173

    Article  PubMed  Google Scholar 

  • Gilbert A, Tassin JL, Benjeddou MS (1985) Paralysies obstétricales du membre superieur. Encycl Méd Chir Pédiatrie 4002: 1

    Google Scholar 

  • Gilbert A, Brockman R, Carlioz H (1991) Surgical treatment of brachial plexus birth palsy. Clin Orthop 264 (35): 39–47

    PubMed  Google Scholar 

  • Haerle M, Gilbert A (1996) Strategy and results of the treatments of complete paralysis of the brachial plexus in neonates. J Hand Surg Br B21: 5

    Google Scholar 

  • Haerle M (1997) Standardisierung von Evaluation und Klassifikation der Krankheitsbilder bei geburtstraumatischen Armplexuslähmungen. Orthopäde 26 (8): 719–22

    CAS  PubMed  Google Scholar 

  • Hoffmann P (1915) Über eine Methode, den Erfolg einer Nervennaht zu beurteilen. Medizinische Klinik 11: 359–360

    Google Scholar 

  • Hoffmann P (1915) Weiteres über das Verhalten frisch regenerierter Nerven und über die Methode, den Erfolg einer Nervennaht frühzeitig zu beurteilen. Medizinische Klinik 11: 856–858

    Google Scholar 

  • Krämer J, Grifka J (2007) Orthopädie und Unfallchirurgie, 8. Aufl. Heidelberg: Springer

    Google Scholar 

  • Malessy MJA, Pondaag W, Yang LJS, Hofstede-Buitenhius SM, Le Cessie S, van Dijk JG (2011) Severe obstetric brachial plexus palsies can be identified at one month of age. PLoS One 6 (10): e26193. doi: 10.1371/journal.pone.0026193

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Medical Research Council (1943) Aids to the investigation of peripheral nerve injuries, 2nd ed. London: Her Majesty’s Stationery Office

    Google Scholar 

  • Mummenthaler M, Stöhr M, Müller-Vahl H (2007) Läsionen peripherer Nerven und radikuläre Syndrome, 9. Aufl. Stuttgart: Thieme

    Google Scholar 

  • Russel SM (2006) Examination of peripheral nerve injuries: an anatomical approach. Stuttgart: Thieme

    Google Scholar 

  • Spinner RJ, Kline DG (2000) Surgery for peripheral nerve and brachial injuries or other nerve lesions. Muscle Nerve 23 (5): 680–95

    Article  CAS  PubMed  Google Scholar 

  • Terzis JK, Papakonstantinou KC (1999) Management of obstetric brachial plexus palsy. Hand Clin 15 (4): 717–36

    CAS  PubMed  Google Scholar 

  • Terzis JK, Kokkalis ZT (2010) Bone discrepancy as a powerful indicator for early surgery in obstetric brachial plexus palsy. Hand 5 (4): 386–396

    Article  PubMed Central  PubMed  Google Scholar 

  • Tinel J (1915) Le signe du „fourmiliement“ riphtriques. Presse Medicale 47: 388–389

    Google Scholar 

Literatur zu ▶ Abschn. 2.2

  • Dellon AL (1989) Review of treatment results for ulnar nerve entrapment at the elbow. J Hand Surg Am 14: 688–700

    Google Scholar 

  • Kleinman WB, Bishop AT (1989) Anterior intramuscular transposition of the ulnar nerve. J Hand Surg Am 14: 972–979

    Article  CAS  PubMed  Google Scholar 

  • Millesi H (1992) Einteilung der Nervenschäden. In: Millesi H (Hrsg.) Chirurgie der peripheren Nerven. Urban & Schwarzenberg, S. 15

    Google Scholar 

  • Seddon HJ (1943) Three types of nerve injury. Brain 66: 237–283

    Article  Google Scholar 

  • Sunderland S (1951) A classification of peripheral nerve injuries producing loss of Function. Brain 74: 491–516

    Article  CAS  PubMed  Google Scholar 

Literatur zu ▶ Abschn. 2.3.1

  • Assmus H (1978) Das somato-sensorische evozierte kortikale Potential (SSEP) im Verlauf der sensiblen Regeneration nach Nervennähten. EEG EMG 167–71

    Google Scholar 

  • Bischoff C (2008a) Sensible Neurographie. In: Bischoff C, Dengler R, Hopf HC (Hrsg.) EMG – NLG. Stuttgart: Thieme, S. 15ff

    Google Scholar 

  • Bischoff C (2008b) Einzelpotentialanalyse. In: Bischoff C, Dengler R, Hopf HC(Hrsg.) EMG – NLG. Stuttgart: Thieme, S. 53ff

    Google Scholar 

  • Eisen A (1988) The use of somatosensory evoked potentials for the evaluation of the peripheral nervous system. Neurol Clin 6: 825–838

    CAS  PubMed  Google Scholar 

  • Jürgens TP, Puchner C, Schulte-Mattler WJ (2012) Discharge rates in EMG distinguish early between peripheral and central paresis. Muscle Nerve 46: 591–593

    Article  PubMed  Google Scholar 

Literatur zu ▶ Abschn. 2.3.2

  • Chaudhry V, Cornblath DR (1992) Wallerian degeneration in human nerves: serial electrophysiological studies. Muscle Nerve 15: 687–693

    Article  CAS  PubMed  Google Scholar 

  • Schulte-Mattler W (2003) Traumatische Nervenläsionen. In: Bischoff C, Dengler R, Hopf HC (Hrsg.) Elektromyographie –Nervenleitungsuntersuchungen. Stuttgart: Thieme, S. 121–124

    Google Scholar 

  • Schulte-Mattler WJ, Georgiadis D, Tietze K, Zierz S (2000) Relation between maximum discharge rates on EMG and motor unit number estimates. Muscle Nerve 23: 231–238

    Google Scholar 

  • Seddon H (1943) Three Types of Nerve Injury. Brain 66: 237–288

    Article  Google Scholar 

  • Wilbourn AJ (1977) Serial conduction studies in human nerve during Wallerian degeneration. Electroencephalogr Clin Neurophysiol 43: 616

    Google Scholar 

Literatur zu ▶ Abschn. 2.3.3

  • Beekmann R, Visser L H (2004) High-resolution sonography of the peripheral nervous system – a review of the literature. Europena Journal of Neurology 11: 305–314

    Google Scholar 

  • Beekmann R, Wokke JHJ, Schoemaker MC et al. (2004) Ulnar neuropathy at the elbow. Follow-up and prognostic factors determining outcome. Neurology 63: 1675–1680

    Article  Google Scholar 

  • Bodner G, Schocke M F, Rachbauer F et al. (2002) Differentiation of malignant and benign musculoskeletal tumors: combined color and power Doppler US and spectral wave analysis. Radiology 223 (2): 410–416

    Article  PubMed  Google Scholar 

  • Ferrante MA (2012) The thoracic outlet syndromes. Muscle Nerve 45 (6): 780–95

    Google Scholar 

  • Gruber H, Glodny B, Galiano K et al. (2007) High-resolution ultrasound of the supraclavicular brachial plexus–can it improve therapeutic decisions in patients with plexus trauma? Eur Radiol 17 (6): 1611–20

    Article  PubMed  Google Scholar 

  • Kele H (2004) Sonographie der peripheren Nerven. In: Reimers C D, Gaulrapp H, Kele H (Hrsg.) Sonographie der Muskeln, Sehnen und Nerven. Köln: Deutscher Ärzteverlag

    Google Scholar 

  • Kele H, Verheggen R, Bittermann HJ, Reimers CD (2003) The potential value of ultrasonography in the evaluation of carpal tunnel syndrome. Neurology 61: 389–392

    Article  PubMed  Google Scholar 

  • König RW, Schmidt TE, Heinen CP, Wirtz CR, Kretschmer T, Antoniadis G, Pedro MT (2011) Intraoperative high-resolution ultrasound: a new technique in the management of peripheral nerve disorders. J Neurosurg 114 (2): 514–21

    Article  Google Scholar 

  • Lin J, Martel W (2001) Cross-sectional imaging of peripheral nerve sheath tumors: characteristic signs on CT, MR imaging, and sonography. AJR Am J Roentgenol 176 (1): 75–82

    Article  CAS  PubMed  Google Scholar 

  • Martinoli C, Bianchi S, Gandolfo N et al. (2000) Ultrasound of nerve entrapments in osteofibrous tunnels of the upper and lower limbs. Radiographics 20 (Suppl): 199–217

    Article  Google Scholar 

  • Martinoli C, Bianchi S, Pugliese F et al. (2004) Sonography of entrapment neuropathies in the upper limb. J Clin Ultrasound 32: 438–450

    Article  PubMed  Google Scholar 

  • Martinoli C, Bianchi S, Santacroce E et al. (2002) Brachial plexus sonography: a technique for assessing root level. AJR Am J Roentgenol 179 (3): 699–702

    Article  PubMed  Google Scholar 

  • Martinoli C, Gandolfo N, Perez MM et al. (2010) Brachial plexus and nerves about the shoulder. Semin Musculoskelet Radiol 14 (5): 523–46

    Article  PubMed  Google Scholar 

  • Nagaoka M, Matsuzaki H (2005) Ultrasonography in tarsal tunnel syndrome. J Ultrasound Med 24: 1035–1040

    PubMed  Google Scholar 

  • Peer S, Bodner G, Meirer J et al. (2001) Examination of postoperative peripheral nerve lesions with high-resolution sonography. AJR Am J Roentgenol 177: 415–419

    Article  CAS  PubMed  Google Scholar 

  • Peer S, Kovacs P, Harpf C et al. (2002) High-resolution sonography of lower extremity peripheral nerves. Anatomic correlation and spectrum of disease. J Ultrasound Med 21: 315–322

    PubMed  Google Scholar 

  • Tagliafico A, Serafini G, Lacelli F et al. (2011) Ultrasound-guided treatment of meralgia paraesthetica (lateral femoral cutaneous nerv neuropathy): technical description and results of treatment in 20 consecutive patients. J Ultrasound Med 30: 1341–1346

    PubMed  Google Scholar 

  • Visser LH (2007) High-resolution sonography for the common peroneal nerve: detection of intraneural ganglia. Neurology 67: 1473–1475

    Article  Google Scholar 

Literatur zu Abschnitt 2.3.4

  • Bäumer P, Dombert T, Staub F, Kaestel T, Bartsch AJ, Heiland S, Bendszus M, Pham M (2011) Ulnar Neuropathy at the Elbow: MR Neurography – Nerve T2 Signal Increase and Caliber. Radiology 260 (1): 199–206

    Article  PubMed  Google Scholar 

  • Bäumer P, Weiler M, Ruetters M, Staub F, Dombert T, Heiland S, Bendszus M, Pham M (2012) MR Neurography in Ulnar Neuropathy as Surrogate Parameter for the Presence of Disseminated Neuropathy. PLoS One 7 (11): e49742

    Article  PubMed Central  PubMed  Google Scholar 

  • Bäumer P, Mautner VF, Baumer T, Schuhmann MU, Tatagiba M, Heiland S, Kaestel T, Bendszus M, Pham M (2013) Accumulation of non-compressive fascicular lesions underlies NF2 polyneuropathy. J Neurol 260 (1): 38–46

    Article  PubMed  Google Scholar 

  • Bendszus M, Stoll G (2005) Technology insight: visualizing peripheral nerve injury using MRI. Nat Clin Pract Neurol 1 (1): 45–53

    Article  PubMed  Google Scholar 

  • Ferrante MA (2012) The thoracic outlet syndromes. Muscle Nerve 45 (6): 780–795

    Google Scholar 

  • Golan JD, Jacques L (2004) Nonneoplastic peripheral nerve tumors. Neurosurg Clin N Am 15 (2): 223–230

    Article  PubMed  Google Scholar 

  • Jee WH, Oh SN, McCauley T, Ryu KN, Suh JS, Lee JH, Park JM, Chun KA, Sung MS, Kim K, Lee YS, Kang YK, Ok IY, Kim JM (2004) Extraaxial neurofibromas versus neurilemmomas: discrimination with MRI. AJR Am J Roentgenol 183 (3): 629–633

    Article  PubMed  Google Scholar 

  • Kollmer J, Bäumer P, Milford D, Dombert T, Staub F, Bendszus M, Pham M (2012) T2-Signal of Ulnar Nerve Branches at the Wrist in Guyon’s Canal Syndrome. PLoS One 7(10): e47295

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Koszyca B, Jones N, Kneebone C, Blumbergs P (2009) Localized hypertrophic neuropathy: a case report and review of the literature. Clin Neuropathol 28 (1): 54–58

    Article  CAS  PubMed  Google Scholar 

  • Li CS, Huang GS, Wu HD, Chen WT, Shih LS, Lii JM, Duh SJ, Chen RC, Tu HY, Chan WP (2008) Differentiation of soft tissue benign and malignant peripheral nerve sheath tumors with magnetic resonance imaging. Clin Imaging 32 (2): 121–127

    Article  PubMed  Google Scholar 

  • Pastore C, Izura V, Geijo-Barrientos E, Dominguez JR (1999) A comparison of electrophysiological tests for the early diagnosis of diabetic neuropathy. Muscle Nerve 22 (12): 1667–1673

    Article  CAS  PubMed  Google Scholar 

  • Simmons Z, Mahadeen Z.I, Kothari MJ, Powers S, Wise S, Towfighi J (1999) Localized hypertrophic neuropathy: magnetic resonance imaging findings and long-term follow-up. Muscle Nerve 22 (1): 28–36

    Article  CAS  PubMed  Google Scholar 

  • Stoll G, Bendszus M, Perez J, Pham M (2009) Magnetic resonance imaging of the peripheral nervous system. J Neurol 256 (7): 1043–1051

    Article  PubMed  Google Scholar 

Literatur zu ▶ Abschn. 2.4

  • Crum BA, Strommen JA, Stucky SC (2007) Peripheral nerve stimulation and monitoring during operative procedures. Muscle Nerve 35 (2): 159–170

    Article  PubMed  Google Scholar 

  • Chuang DC, Cheng SL, Wie FC, Wu CL, Ho YS (1998) Clinical evaluation of C7 spinal nerve transection: 21 patients with at least 2 years follow up. Br J Plast Surg 51 (4): 285–290

    Article  CAS  PubMed  Google Scholar 

  • Flores LP (2008) Functional assessment of C-5 ventral rootlets by intraoperative electrical stimulation of the supraclavicular segment of the long thoracic nerve during brachial plexus surgery. J Neurosurg 108 (3): 533–40

    Article  PubMed  Google Scholar 

  • Johnstone BR, Coombs CJ, Dowling GJ (2007) Intraoperative Nerve Stimulation: A simple, effective and inexpensive alternative to standard devices. J Hand Surg Am 32 (8): 1296–98

    Article  PubMed  Google Scholar 

  • Kline DG, Hackett ER, May PR (1969) Evaluation of nerve injuries by evoked potentials and electromyography. J Neurosurg 31 (2): 128–136

    Article  CAS  PubMed  Google Scholar 

  • Kline DG, Nulsen FE (1972) The neuroma in continuity. It’s preoperative and operative management. Surg Clin North Am 52 (5): 1189–1209

    Google Scholar 

  • Kline DG (1990) Surgical repair of peripheral nerve injury. Muscle Nerve 13 (9): 843–852

    Article  CAS  PubMed  Google Scholar 

  • Kline DG, Happel LT (1993) Penfield Lecture. A quarter century´s experience with intraoperative nerve action potential recording. Can J Neurol Sci 20 (1): 3–10

    CAS  PubMed  Google Scholar 

  • König RW, Pedro MT, Heinen CPG, Schmidt T, Richter HP, Antoniadis G, Kretschmer T (2009) High-Resolution ultrasonography in evaluating peripheral nerve entrapment and trauma. Neurosurg Focus 26 (2): E13

    Article  Google Scholar 

  • König RW, Schmidt TE, Heinen CP, Wirtz CR, Kretschmer T, Antoniadis G, Pedro MT (2011) Intraoperative high-resolution ultrasound: a new technique in the management of peripheral nerve disorders. J Neurosurg 114 (2): 514–21

    Article  Google Scholar 

  • Lee FC, Singh H, Nararian LN, Ratliff JK (2011) High-resolution ultrasonography in the diagnosis and intraoperative management of peripheral nerve lesions. J Neurosurg 114 (1): 206–11

    Article  PubMed  Google Scholar 

  • Oberle JW, Antoniadis G, Rath SA, Richter H-P (1997a) Value of nerve action potentials in the surgical management of traumatic nerve lesions. Neurosurgery 41 (6): 1337–1344

    Article  CAS  PubMed  Google Scholar 

  • Oberle JW, Antoniadis G, Rath SA, Richter H-P (1997b) Intra-operative electrophysiologogical diagnosis of spinal root avulsion during surgical repair of brachial plexus stretch injuries. Acta Neurochirurgica 139 (3): 238–9

    Article  CAS  PubMed  Google Scholar 

  • Oberlin C, Ameur NE, Teboul F, Beaulieu JY, Vacher C (2002) Restoration of elbow flexion in brachial plexus injury by transfer of ulnar nerve fascicles to the nerve to the biceps muscle. Tech Hand Up Extrem Surg 6 (2): 86–90

    Article  PubMed  Google Scholar 

  • Robert EG, Happel LT, Kline DG (2009) Intraoperative nerve action potential recordings: technical considerations, problems, and pitfalls. Neurosurgery 65 (4 Suppl): A97–104

    Article  PubMed  Google Scholar 

  • Thiel RJ, Happel LT Jr, Kline DG (1996) Nerve action potential recording method and equipment. Neurosurgery 39 (1): 103–109

    Article  Google Scholar 

  • Zhang CG, Gu YD (2011) Contralateral C7 nerve transfer- Our experience over past 25 years. J Brachial Plex Peripher Nerve Inj 6 (1): 10

    Article  PubMed Central  PubMed  Google Scholar 

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König, R. et al. (2014). Diagnoseverfahren. In: Kretschmer, T., Antoniadis, G., Assmus, H. (eds) Nervenchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36895-0_2

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