Nerve transfers for restoration of upper extremity motor function in a child with upper extremity motor deficits due to transverse myelitis: Case report
Version of Record online: 28 NOV 2011
Copyright © 2011 Wiley Periodicals, Inc.
Volume 32, Issue 1, pages 64–67, January 2012
How to Cite
Dorsi, M. J. and Belzberg, A. J. (2012), Nerve transfers for restoration of upper extremity motor function in a child with upper extremity motor deficits due to transverse myelitis: Case report. Microsurgery, 32: 64–67. doi: 10.1002/micr.20939
- Issue online: 18 JAN 2012
- Version of Record online: 28 NOV 2011
- Manuscript Accepted: 20 JUN 2011
- Manuscript Received: 30 MAY 2011
Transverse myelitis (TM) may result in permanent neurologic dysfunction. Nerve transfers have been developed to restore function after peripheral nerve injury. Here, we present a case report of a child with permanent right upper extremity weakness due to TM that underwent nerve transfers. The following procedures were performed: double fascicle transfer from median nerve and ulnar nerve to the brachialis and biceps branches of the musculocutaneous nerve, spinal accessory to suprascapular nerve, and medial cord to axillary nerve end-to-side neurorraphy. At 22 months, the patient demonstrated excellent recovery of elbow flexion with minimal improvement in shoulder abduction. We propose that the treatment of permanent deficits from TM represents a novel indication for nerve transfers in a subset of patients. © 2011 Wiley Periodicals, Inc. Microsurgery, 2012.