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Modern Aspects of Peripheral and Cranial Nerve Surgery

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Advances and Technical Standards in Neurosurgery – Volume 2

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 2))

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Abstract

Knowledge of Wallerian degeneration began in 1852 and, following experimental research on degeneration and regeneration of interrupted nerves, surgeons realized that reinnervation of end organs depended on growth of axons through the interrupted area of nerve. Therefore surgeons tried to reanastomose the stumps. Failures of reinnervation could not be blamed on lack of axoplasma metabolism and flow from cell body to suture line because the clinical observation of amputation neuromas and their constant recurrence demonstrated the unfailing delivery of axoplasma by the nerve cell body; at times to the deep concern of the surgeon, and the constant pain of the patient. The electron microscope showed increased size of nerve cell bodies after their axon had been interrupted. This was taken to mean that the cell body had increased its metabolism in trying to form axoplasma, and later neurochemistry investigations proved this was true. Despite the ability of a nerve cell body to continue production of axoplasma indefinitely, when there is a barrier to the flow of axoplasm peripherally, no reinnervation of end organs can occur.

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  1. Neurosurgical Clinic, University of Mainz, Federal Republic of Germany

    M. Samii

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  1. M. Samii
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Editors and Affiliations

  1. Zürich, Switzerland

    H. Krayenbühl

  2. Bruxelles, Belgium

    J. Brihaye

  3. Homburg/Saar, Germany

    F. Loew

  4. Institute of Neurology, University of London, Department of Neuro-Surgical Studies, The National Hospital, Queen Square, WC1N 3BG, London, Great Britain

    Valentine Logue (Professor of Neurosurgery) (Professor of Neurosurgery)

  5. Padova, Italy

    S. Mingrino

  6. Paris, France

    B. Pertuiset

  7. London, UK

    L. Symon

  8. Helsinki, Finland

    H. Troupp

  9. Neurochirurgische Universitätsklinik, Kantonsspital Zürich, Rämistraße 100, CH-8091, Zürich, Switzerland

    M. G. Yaşargil

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Samii, M. (1975). Modern Aspects of Peripheral and Cranial Nerve Surgery. In: Krayenbühl, H., et al. Advances and Technical Standards in Neurosurgery – Volume 2. Advances and Technical Standards in Neurosurgery, vol 2. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7088-5_2

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  • DOI: https://doi.org/10.1007/978-3-7091-7088-5_2

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7090-8

  • Online ISBN: 978-3-7091-7088-5

  • eBook Packages: Springer Book Archive

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