TY  - JOUR
PY  - 2004//
TI  - Gunshot injuries of peripheral nervous system: the questions of classification and diagnostics
JO  - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
A1  - Musaev, A. V.
A1  - Guseĭnova, S. G.
SP  - 10
EP  - 17
VL  - 104
IS  - 8
N2  - Two hundreds and sixty-seven patients with gunshot injuries of 394 nerves and plexus underwent clinical and electromyographic investigation and H-reflex evaluation as well. Based on the results of the data obtained, 3 types of nerves trunk injuries: neuroapraxia, axonothmesis and neurothmesis, were identified. The reduction of biopotential amplitude and synergic muscular activity, decrease of impulse conduction velocities (ICVeff--up to 30%), M-response amplitude (up to 50% and more) and motor units functioning were characteristic of neuroapraxia of nerve trunks. Axonothmesis of nerve trunks featured by the reduction of the amplitude and frequency of muscular biopotentials, decrease of its synergic activity, marked reduction of ICVeff (30--60%), rough fall of M-response amplitude and motor units functioning. In neurothmesis of nerve trunks, "bioelectrical silence" and disappearance of synergic muscular activity as well as an absence of M-response of denervated muscles were observed. An evaluation of monosynaptic reflex has a substantial significance for the determination of the level of low extremities injuries.<p /> <p>Language: ru</p>
LA  - ru
SN  - 1997-7298
UR  - http://dx.doi.org/
ID  - ref1
ER  -