Introduction and Outline of the Cases

  • Chantal Bonnard
  • Bart Slooff


The drawings, with Professor Narakas’ written comments, are the most interesting part, the heart, of this work. To elucidate his treatment plan, it was necessary to add the clinical data, a summary of the primary surgery, and the eventual secondary procedures. A short comment is provided concerning the most important aspects of the intervention and outcome. The well-known charts complete this page. We wish to stress that in each case Professor Narakas emphasized the importance of a very detailed history of the trauma for assessing the severity of impact, its location, and the mechanism [24, 63, 126]. In his clinical examination he was very thorough; he examined each muscle, considered the appearance of the skin, assessed sensory function, and looked for a Tinel’s sign and a Horner’s syndrome. He paid special attention to pain. He noted associated injuries as these may indicate a double-level lesion or additional severity of the injury. Any associated vascular lesion can certainly aggravate the lesion and cause severe difficulties during surgical intervention [65].

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • Chantal Bonnard
    • 1
    • 2
  • Bart Slooff
    • 3
    • 4
    • 5
  1. 1.Plastic, Reconstructive and HandsurgeonClinique Chirurgicale et Permanence de LongeraieLausanneSwitzerland
  2. 2.Consultant Peripheral Nerve and Plexus SurgeryCentre Hospitalier UniversitaireLausanneSwitzerland
  3. 3.Academic Neurosurgical Center LimburgHeerlen/MaastrichtThe Netherlands
  4. 4.Neurosurgical Department, Academic HospitalFree UniversityAmsterdamThe Netherlands
  5. 5.LanakenBelgium

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