Young L, Wray RC, Weeks PM: A randomized prospective comparison of fascicular and epineural
digital nerve repairs.
For postoperative analgesia, an epineural
catheter is placed proximally into the sheath surrounding the neurovascular structures, where it will bathe the entire brachial plexus with bupivacaine.
Intermittent parasthesia or pain, incapacity, positive proactive tests, hypersensitivity to 256 cps is present at beginning or early compression period when epineural
blood circulation disorder leading to decreased axonal transport was present and there were no morphological changes.
The facial nerve palsy is associated with epineural
granulomas and perineural inflammatory infiltrates of cranial nerve VII (12).
8): precaudal vertebrae 11; caudal vertebrae (including terminal element) 16; vertebrae 3-11 with pleural rib articulating with respective parapophyses; twelve pairs of epineurals
, articulating with vertebrae as follows: epineurals
1, 2 with corresponding parapophyses, 3-10 with corresponding pleural ribs, epineural
11 reduced and not articulating with pleural rib and 12 highly reduced and embedded in tissue; first caudal vertebra with expanded haemal arch and tiny haemal spine; haemal arch comprising elongate parapophyses, "rib-like" in appearance in lateral view; where parapophyses join ventrally to form haemal arch, a nubbin of bone (haemal spine) projecting posteriorly (Fig.
Nerve repair may be carried out with an epineural
or perineural technique; a minimal number of monofilament sutures under the operating microscope remains the current standard for either technique of neurorrhaphy.
microvasculitis in proximal diabetic neuropathy.
The chromic gut model of Bennett and Xie (9) affects the epineural
sheath undergoes dissolution into the nerve at the ligated site and there is recovery at day 22 (10).