Electrophysiological/sonographic mapping of the superficial peroneal nerve to facilitate biopsy under local anaesthesia
| Autor: | Jeremy D.P. Bland, Andrei Tudose, Florence Hogg, Daniel C. Walsh |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Biopsy
Neural Conduction Action Potentials 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Anatomical surface medicine Humans Ultrasonography Nerve biopsy medicine.diagnostic_test business.industry Superficial peroneal nerve Peroneal Nerve General Medicine Anatomy medicine.disease Electrophysiology Under local anaesthesia Sensory nerve action potential Surgery Neurology (clinical) Vasculitis business 030217 neurology & neurosurgery Anesthesia Local |
| Zdroj: | British Journal of Neurosurgery. 31:264-265 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.1080/02688697.2016.1244256 |
| Popis: | The anatomical surface markings for the superficial peroneal nerve have been described and it may be preferred for biopsy in cases of suspected vasculitis as biopsy of the peroneus brevis muscle increases diagnostic yield. The procedure is however unfamiliar to many surgeons and the anatomical variability of the subcutaneous part underestimated. Where the nerve has some preserved sensory nerve action potential it may be mapped pre-operatively, greatly facilitating minimally traumatic biopsy with potential logistical and wound healing advantages. We review the literature relating to the anatomical course of the nerve and present a case illustrating the advantages of pre-operative mapping, given its location in the anterior compartment of the leg 26% of the time. |
| Databáze: | OpenAIRE |
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