Category Archives: Peripheral Nerve

Atlas of Anatomy of the Peripheral Nerves: The Nerves of the Limbs – Student Edition

Atlas of Anatomy of the Peripheral Nerves: The Nerves of the Limbs – Student Edition

Atlas of Anatomy of the Peripheral Nerves: The Nerves of the Limbs – Student Edition

List Price: $89.99

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This innovative atlas focuses on peripheral nerves and provides a brand new approach compared to regular anatomy books. Using a modern 3D approach, it offers an alternative to conventional anatomical structures. It reviews all the anatomy and the morphology of these structures from an original point of view.
In these three-dimensional diagrams, as well as in the watercolor drawings enhanced with a 3D inlay, each type of nerve is depicted in a minute detail.
The atlas simplifies the anatomy and make it easy and understandable by allowing readers to develop a mental “real-time 3D GPS”.
The integration of MRI sections related to the drawings and the descriptions of the main nerve injuries provide medical students with a flexible but effective transition to the radiological interpretation and furthers the clinical learning process.
After a detailed evaluation of the morphofunctional anatomy of the peripheral nerves, the authors present a collection of relevant data on neuromuscular transmission, both from classical and recent literature, ranging from the central and peripheral nervous system to the effector muscle. This information offers a basis for understanding the physiology, the pathology, and the repair prospects of peripheral nerves from a purely theoretical point of view.
The book is divided into three main parts:
– Fundamental notions: from immunohistochemistry to limb innervation
– The upper limb: the brachial plexus and related peripheral nerves
– The lower limb: the lumbosacral plexus and related peripheral nerves
This atlas also features 261 outstanding full-colour 2D and 3D illustrations. Each picture has been designed in 2D and 3D with a combination of the original editor’s personal drawings/paintings and 3D-modeling tools.
This book is a valuable resource for anyone studying medicine, anaesthesiology, neurosurgery, spine surgery, pain, radiology or rheumatology and is also of high interest to the whole medical community in general.

Product Details

  • Published on: 2017-09-12
  • Original language: French
  • Number of items: 1
  • Dimensions: 11.00″ h x .0″ w x 8.30″ l, .0 pounds
  • Binding: Hardcover
  • 322 pages

About the Author

Prof. Philippe Rigoard  is a Senior surgeon and coordinator of the Spine & Neuromodulation Unit within the Neurosurgical Department, at the Poitiers University Hospital, in France. He is also an Honorary Consultant at St Thomas & Guy’s Hospital, Pain clinic, in London, UK, an Anatomy conference reader at the Human Morphology Institute, Faculty of Medicine of the University of Poitiers and a Researcher at the Inserm, CIC (Clinical Investigation Center) 802. He is research program director of the N3Lab, Neuromodulation & Neural Networks Lab in Poitiers.
In parallel of studying anatomy and morphology at National Art Institute, Beaux-Arts, Paris, from 1994-1996, he decided to enter into medicine. He received his medical degree as 1st Laureate of faculty of Medicine, Poitiers in 2006 and completed postgraduate medical training in spine surgery 2008 and a fellowship in functional neurosurgery in 2009.
From 2002-2007 he also completed his PhD of Sciences, in Poitiers as well as several degrees including in Neuromuscular Diseases, acute pain, chronic pain and pain management in emergency conditions, microsurgical techniques and surgical robotics.
His main research interest is neuromodulation and spine biomechanics. He has intensive scientific collaborations with several researchers worldwide, e.g., Dr. Kumar (Canada), Dr. Desai, Dr. North, Dr. Slavin (USA) and Dr. Al-Kaisy (UK).  He is reviewer for many scientific journals and a member of several learnt societies, including the International Association for the Study of Pain, International Neuromodulation society, European Association of Neurosurgeons, French and North American Society of Spine Surgery.
He has also published dozens of journal articles, abstracts, and book chapters, and has lectured at numerous conferences and symposia worldwide.

Update: F wave

wave is the second of two voltage changes observed after electrical stimulation is applied to the skin surface above the distal region of a nerve.

F waves are often used to measure nerve conduction velocity, and are particularly useful for evaluating conduction problems in the proximal region of nerves (i.e., portions of nerves near the spinal cord).

It’s called F wave because it was initially recorded in the foot muscles.

In a typical F wave study, a strong electrical stimulus (supramaximal stimulation) is applied to the skin surface above the distal portion of a nerve so that the impulse travels both distally (towards the muscle fiber) and proximally (back to the motor neurons of the spinal cord). (These directions are also known as orthodromic and antidromic, respectively.) When the orthodromic stimulus reaches the muscle fiber, it elicits a strong M-response indicative of muscle contraction. When the antidromic stimulus reaches the motor neuron cell bodies, a small portion of the motor neurons backfire and orthodromic wave travels back down the nerve towards the muscle. This reflected stimulus evokes small proportion of the muscle fibers causing a small, second CMAP called the F wave.

Because a different population of anterior horn cells is stimulated with each stimulation, each F wave have a slightly different shape, amplitude and latency.

F wave properties include:

amplitude (µV) – F wave height duration (ms) – length of F wave latency (ms) – period between F wave and initial stimulation F wave measurements[edit] Several measurements can be done on the F responses, including minimal and maximal latencies, and F wave persistence.

The minimal F wave latency is typically 25-32 ms in the upper extremities, and 45-56 ms in the lower extremities.

F wave persistence is the number of F waves obtained per the number of stimulations, which is normally 80-100% (or above 50%).


Each skeletal muscle is usually supplied by two or more nerve roots and if one nerve root is affected and the other is spared, the clinically used F wave minimum latency can still be normal 1).


In Guillain Barré syndrome (GBS) with antiganglioside antibodies, isolated absence of F waves is a frequent conduction abnormality especially in the early phase of the disease, and may be caused by axonal dysfunction, such as physiological conduction block or axonal degeneration at the nerve roots 2).


Facial F-wave, blink reflex and facial corticobulbar motor evoked potentials (FCoMEP), are feasible to intra-operatively study changes in excitability of the facial nerve and its nucleus during MVDs. Intra-operative neuromonitoring with the mentioned techniques allows a better understanding of HFS pathophysiology and helps to optimise the MVD 3).


The hypoglossal-facial nerve by “side”-to-side anastomisis with pre-degenerated auto-nerve graft was effective for the treatment of peripheral facial palsy after CPA tumor resection, F wave can be used as one of the objective index for the effect of the operation 4).

1)

Sathya GR, Krishnamurthy N, Veliath S, Arulneyam J, Venkatachalam J. F wave index: A diagnostic tool for peripheral neuropathy. Indian J Med Res. 2017 Mar;145(3):353-357. doi: 10.4103/ijmr.IJMR_1087_14. PubMed PMID: 28749398.
2)

Kuwabara S, Ogawara K, Mizobuchi K, Koga M, Mori M, Hattori T, Yuki N. Isolated absence of F waves and proximal axonal dysfunction in Guillain-Barré syndrome with antiganglioside antibodies. J Neurol Neurosurg Psychiatry. 2000 Feb;68(2):191-5. PubMed PMID: 10644786; PubMed Central PMCID: PMC1736791.
3)

Fernández-Conejero I, Ulkatan S, Sen C, Deletis V. Intra-operative neurophysiology during microvascular decompression for hemifacial spasm. Clin Neurophysiol. 2012 Jan;123(1):78-83. doi: 10.1016/j.clinph.2011.10.007. Epub 2011 Dec 1. Review. PubMed PMID: 22136736.
4)

Tao X, Li P, Wan H, Liu S, Liu Y, Qiao H. [Preliminary study of facial nerve F wave evaluation hypoglossal-facial nerve reconstruction with predegenerated nerve graft for peripheral facial palsy]. Zhonghua Yi Xue Za Zhi. 2015 Jun 2;95(21):1648-50. Chinese. PubMed PMID: 26675791.

Nerve Cases: High Yield Scenarios for Oral and Written Testing

Nerve Cases: High Yield Scenarios for Oral and Written Testing
By Amgad S. Hanna

Nerve Cases: High Yield Scenarios for Oral and Written Testing

List Price: $109.00

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This book addresses the severe knowledge deficit in peripheral nerve amongst neurosurgeons, however this topic represents an integral part of the oral board examination. The book employs a case based approach with the highest-yield scenarios for oral boards, primarily focusing on nerve entrapments, trauma and tumors. Thanks to its question and answer format, the reader is encouraged to think about the cases and questions as if taking the real exam before they check the answers. The work also includes common pitfalls, a section on nerve examinations including video recordings, and a section on important clinical findings that should be diagnosed from the picture. The book not only serves neurosurgeons, but also plastic surgeons, orthopedists, and neurologists.


Product Details

  • Published on: 2016-09-13
  • Original language: English
  • Number of items: 1
  • Dimensions: .0″ h x .0″ w x .0″ l, .0 pounds
  • Binding: Paperback
  • 209 pages

Editorial Reviews

From the Back Cover

This book addresses the severe knowledge deficit in peripheral nerve amongst neurosurgeons, however this topic represents an integral part of the oral board examination. The book employs a case based approach with the highest-yield scenarios for oral boards, primarily focusing on nerve entrapments, trauma and tumors. Thanks to its question and answer format, the reader is encouraged to think about the cases and questions as if taking the real exam before they check the answers. The work also includes common pitfalls, a section on nerve examinations including video recordings, and a section on important clinical findings that should be diagnosed from the picture. The book not only serves neurosurgeons, but also plastic surgeons, orthopedists, and neurologists.

About the Author

Amgad Hanna is an assistant professor in the Department of Neurological Surgery at the University of Wisconsin. He specializes in the diagnosis and treatment of disorders of the spine and peripheral nerves. Dr. Hanna received his medical degree from Cairo University School of Medicine and has been in practice for 24 years. He worked during his residency at the Thomas Jefferson University Hospital and did his fellowships in Spine and Peripheral Nerve at the Mayo Clinic, Rochester and in Spine Surgery at the Washington University, St. Louis. Dr. Hanna has extensive teaching experience and he is an editor of the Journal of Neurosurgery as well as reviewer of numerous international journals.

Book: Peripheral Nerve Entrapments: Clinical Diagnosis and Management

Peripheral Nerve Entrapments: Clinical Diagnosis and Management

Peripheral Nerve Entrapments: Clinical Diagnosis and Management

List Price:$249.00
Featured as a single volume, this is a comprehensive guide to possible nerve entrapment syndromes and their management. Each chapter covers a single nerve, or group of closely related nerves, and goes over the clinical presentation, anatomy, physical exam, differential diagnosis, contributing factors, injection techniques, neurolytic/surgical techniques, treatments of perpetuating factors, and complications.
Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain. As an example, one of the most common forms of nerve entrapment syndrome, Carpal Tunnel Syndrome, affects roughly 1 in 20 people in the United States, and is only one of several types of entrapment syndromes possible for the median nerve.
Chapters are also extensively illustrated and include 3D anatomical images. The additional online material enhances the book with more than 50 videos – at least 2 for each nerve. This enables readers to easily navigate the book. In addition to a conventional index it includes a “Pain Problems Index” for searching by symptom. Peripheral Nerve Entrapments: Clinical Diagnosis and Management is a long-needed resource for pain physicians, emergency room physicians, and neurologists.

Product Details

  • Published on: 2016-06-11
  • Original language: English
  • Number of items: 1
  • Dimensions: .0″ h x .0″ w x .0″ l, .0 pounds
  • Binding: Paperback
  • 902 pages

Editorial Reviews

About the Author

Andrea M. Trescot, MD
Medical Director – Pain and Headache Center
Anchorage, AK, USA

Dr. Trescot is currently the Chair of the Education Committee of the World Institute of Pain. After 15 years of private practice, she joined academics as a professor and served as the Director of the pain fellowship programs for the University of Washington and the University of Florida/VA Pain Center, before she returned to private practice. She was President of the American Society of Interventional Pain Physicians (ASIPP) from June 2007 to June 2008.  She coauthored the book Pain-Wise: A Patient’s Guide to Pain Management (Hatherleigh Press, 2011), and co-edited the 3 volumes of Pain Medicine & Interventional Pain Management – A Comprehensive Review (American Society of Interventional Pain Physicians Publishing, 2011).

Book: Surgery of the Autonomic Nervous System

Surgery of the Autonomic Nervous System
From Oxford University Press

Surgery of the Autonomic Nervous System

List Price:$165.00

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Autonomic surgery is an important and expanding field within contemporary clinical practice. Surgical therapies influencing the autonomic nervous system have historically entailed disabling various components of its network by injurious methods. More sophisticated techniques have now emerged to allow modulation of neural function by electrical implants or by preservative surgery. This has fuelled the expansion in this field as safer therapies with greater scope for patient benefit have become available. As the potential for precise neural manipulation has advanced, so has the number and diversity of diseases which have become amenable to such therapies.

This book reviews the basic science underpinning the autonomic control of various body systems and the state-of-the-art clinical applications by which these systems are surgically modulated in patients today. Clinical chapters include details of the procedure, operative considerations, outcomes, adverse effect profile, post-operative management of such patients and reflections on personal experience. Autonomic surgery can be applied to a wide variety of diseases affecting large numbers of the population such as angina pectoris, hypertension, orthostatic hypotension, sexual dysfunction, regional pain syndromes, headache and epilepsy.


Product Details

  • Published on: 2016-06-07
  • Original language: English
  • Number of items: 1
  • Dimensions: 6.90″ h x .90″ w x 9.80″ l, .0 pounds
  • Binding: Hardcover
  • 360 pages

Editorial Reviews

About the Author

Jonathan A. Hyam, Neurosurgical Registrar, Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, University College London, UK,Erlick A. C. Pereira, Senior Neurosurgical Registrar, Department of Neurosurgery, Oxford University Hospitals NHS Trust, UK,Alexander L. Green, Consultant Neurosurgeon, Nuffield Department of Surgical Sciences, University of Oxford, UK

Mr Jonathan A. Hyam is a Neurosurgical Registrar at the National Hospital for Neurology and Neurosurgery, Queen Square, London, and a Visiting Academic at Oxford Functional Neurosurgery and the Nuffield Department of Surgical Sciences, University of Oxford. He was awarded his DPhil in 2012 from the Department of Physiology, Anatomy and Genetics.

Mr Erlick A. C. Pereira is a Senior Neurosurgical Registrar at the Department of Neurosurgery, Oxford University Hospitals NHS Trust, UK. He has published around 90 papers in other areas of surgery and neuroscience. Last year, he gained both his FRCS (Neuro.Surg) and was awarded a DM for research into deep brain surgery for pain.

Mr Alexander L. Green is a Consultant Neurosurgeon at the Nuffield Department of Surgical Sciences, University of Oxford, UK. He is currently president of the British Society for Stereotactic and Functional Neurosurgery (BSSFN).

Hoy: IX Curso teórico-práctico de cirugía de los nervios periféricos y del plexo braquial

nervionovleon

León – España acoge el IX Curso teórico-práctico de Cirugía de los nervios periféricos. La cita tendrá lugar los días 11, 12 y 13 de noviembre organizado por el Servicio de Neurocirugía.

Este curso es de ámbito internacional y cuenta con profesores destacados de diferentes hospitales de España y hospitales internacionales como Argentina, Chile, Brasil, Uruguay, México, Italia, y Serbia, además de asistentes de diferentes países.

El curso está dirigido a los médicos con interés en el campo de la cirugía de los nervios periféricos y se desarrollará en el salón de actos del Complejo Asistencial de la capital.