Nerve injury is an injury to nervous tissue. There is no single classification system that can describe all the many variations of nerve injuries. In 1941, Seddon introduced a classification of nerve injuries based on three main types of nerve fiber injury and whether there is continuity of the nerve. Usually, however, peripheral nerve injuries are classified in five stages, based on the extent of damage to both the nerve and the surrounding connective tissue, since supporting glial cells may be involved.
Unlike in the central nervous system, neuroregeneration in the peripheral nervous system is possible. The processes that occur in peripheral regeneration can be divided into the following major events: Wallerian degeneration, axon regeneration/growth, and reinnervation of nervous tissue. The events that occur in peripheral regeneration occur with respect to the axis of the nerve injury. The proximal stump refers to the end of the injured neuron that is still attached to the neuron cell body; it is the part that regenerates. The distal stump refers to the end of the injured neuron that is still attached to the end of the axon; it is the part of the neuron that will degenerate, but the stump remains capable of regenerating its axons.
The study of peripheral nerve injury began during the American Civil War and greatly expanded during modern medicine with such advances as use of growth-promoting molecules.
To assess the location and severity of a peripheral nerve injury, clinical assessment is commonly combined with electrodiagnostic tests. Injuries to the myelin are usually the least severe (neuropraxia), while injuries to the axons and supporting structures are more severe (axonotmesis is moderate injury, while neurotmesis is severe injury). It may be difficult to differentiate the severity by clinical findings due to common neurological impairments, including motor and sensory impairments distal to the lesion.
Neurapraxia is the least severe form of nerve injury, with complete recovery.
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The aim of this course is two-fold:
i) to describe the molecular properties of some important drug targets
ii) to illustrate some applications of drugs active at the nervous system
The goal of the course is to guide students through the essential aspects of molecular neuroscience and neurodegenerative diseases. The student will gain the ability to dissect the molecular basis of
Neurotmesis (in Greek tmesis signifies "to cut") is part of Seddon's classification scheme used to classify nerve damage. It is the most serious nerve injury in the scheme. In this type of injury, both the nerve and the nerve sheath are disrupted. While partial recovery may occur, complete recovery is impossible. Symptoms of neurotmesis include but are not limited to pain, dysesthesias (uncomfortable sensations), and complete loss of sensory and motor function of the affected nerve.
C’est une blessure du nerf, provoquée par la compression ou le cisaillement. Il n'existe aucun système individuel de classification d'un axonotmesis (ou blessure des nerfs). La plupart des systèmes tentent de juger le degré d'une blessure par ces symptômes, son pronostic et sa pathologie. En 1941, Seddon intronise une classification des axonotmésis basés sur trois principaux types de blessure des fibres nerveuses et s'il y a continuité des nerfs. Il survient notamment en cas de compression sous plâtre : c'
La neurapraxie est une interruption de la conduction nerveuse sur le trajet d'un axone, sans qu'il y ait lésion de ce dernier. Elle se traduit cliniquement par un déficit de fonction, le plus souvent transitoire, se traduisant sur le plan électrophysiologique par un bloc de conduction nerveuse. Sur le plan histopathologique, elle s'accompagne parfois d'une altération morphologique de la gaine de myéline ou d'une démyélinisation segmentaire.
Explore l'optimisation des systèmes neuroprothétiques, y compris la restauration de rétroaction sensorielle et les stratégies de stimulation neuronale.
Couvre l'ingénierie des tissus neuraux, les lésions nerveuses, la réparation de la moelle épinière, les biomatériaux dans la régénération du cerveau et la récupération post-AVC.
Explore la réparation du cerveau après l'AVC, couvrant les changements post-AVC, les thérapies comme la stimulation des nerfs vagus, et les facteurs de croissance.
BACKGROUND AND PURPOSE: MS lesions exhibit varying degrees of axonal and myelin damage. A comprehensive description of lesion phenotypes could contribute to an improved radiologic evaluation of smoldering inflammation and remyelination processes. This stud ...
This thesis presents an extensive exploration of neuroelectronic interfaces, focusing on microfabrication, in silico modeling, and their applications in designing and fabricating devices for neural interfacing. The research encompasses both peripheral nerv ...
EPFL2024
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Engineered grafts constitute an alternative to autologous transplant for repairing severe peripheral nerve injuries. However, current clinically available solutions have substantial limitations and are not suited for the repair of long nerve defects. A nov ...