(15) The patient gradually responded to standard MB-MDT as she had enlargement of two nerve trunks
(without clinical evidence of neuritis) in addition to the skin lesion.
In his second case, Scaramella used the buccal branch for an anastomosis with a sural nerve graft to the paralyzed facial nerve trunk
These tumours may affect any nerve in the body mainly in the flexor surfaces of limb and nerve trunks
, often at origin of spinal or cranial nerves.1 They usually grow slowly and appear as painless swellings for several years before being diagnosed.
The facial nerve trunk
was then carefully located by blunt dissection as it emerges from the stylomastoid foramen immediately above the attachment of the posterior belly of digastric muscle and along the anterior border of the mastoid process.
(1) Pure or primary neuritic leprosy (PNL) only involves peripheral nerve trunks
without skin lesions.
The main facial nerve trunk
had passed through the mass.
Kilik et al (2010) found double facial nerve trunk
. Katzand Catalano (1987) found two main trunks, major and minor trunk in 3% of cases.
Neuropathic pain is a common complaint due to leprosy neuritis, whether spontaneous or on palpation of a nerve trunk
. It can be present during or after treatment with multidrug therapy, however the chronic neuropathic pain in treated leprosy is arising as a major problem.
Neuritis (N)--Patients presenting with acute inflammation of one or more peripheral nerve trunk
detectable by swelling and/or functional impairment with spontaneous nerve pain and/or nerve tenderness on palpation.
In a truncal vagotomy, the nerve trunk
is fully resected.
This would help to dissect and identify facial nerve trunk
at the inferior edge and facial nerve branches at the superior edge.
As for electrode placement, Bergquist, Clair, and Collins (2011) argued for placement of the electrode over the nerve trunk
rather than the muscle belly in order to promote a greater central contribution to motor unit recruitment (Bergquist, Clair, & Collins, 2011).