Intraoperative Schnellschnittdiagnostik bei der geburtstraumatischen Plexusläsion - Gegenüberstellung von Makroskopie, HE-Schnellschnitten und Semidünnschnitten mit Toluidinblau-Färbung

Autor: D. Atkins, G. Ingianni, F. Lassner, J. M. Schröder, M. Becker
Rok vydání: 2003
Předmět:
Zdroj: Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 35:112-116
ISSN: 1439-3980
0722-1819
Popis: In brachial plexus lesions and their revision, evaluation of nerve stumps is very important for the reconstructive strategy. We intraoperatively perform cryostat sections, Haematoxilin-Eosin (HE) stained, and compare the clinical appearance of the nerves to the microscopic results. Toluidine blue staining is later used to validate the structural details. Intraneural fibrosis can be traced safely with both staining methods, in root avulsions a histology is helpful, too. For more proximal, intraforaminal lesions semithin section stained with toluidine-blue are less informative than are HE-stained cryostat sections. In these lesions the clinical control by electrical stimulation and evoked potentials is superior.
Databáze: OpenAIRE