NEUROLOGICAL EVALUATION AFTER RADICAL RESECTION OF SACRAL NEOPLASMS

被引:28
作者
FUJIMURA, Y
MARUIWA, H
TAKAHATA, T
TOYAMA, Y
机构
[1] Department of Orthopaedic Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, 160
来源
PARAPLEGIA | 1994年 / 32卷 / 06期
关键词
SACRAL TUMORS; RADICAL RESECTION; SEVERANCE OF LUMBOSACRAL NERVES; NEUROLOGICAL DEFICIT; ACTIVITIES OF DAILY LIVING;
D O I
10.1038/sc.1994.66
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Eight patients had a radical resection of sacral tumours, and bilateral severance of lumbosacral nerves was required. Their neurological deficits and disturbance of activities of daily living (ADL) were studied. The neurological deficits which occurred were motor dysfunction of the lower limbs, sensory disturbances, and urinary, faecal and sexual dysfunction. Bilateral preservation of the L5 nerve and above was necessary to permit the ability to walk, and bilateral preservation of the S2 nerve and above was necessary to spare urinary, faecal and sexual functions in order to establish ADL. To maintain normal ADL, bilateral preservation of the S2 nerve and above was necessary for walking, and bilateral preservation of the S3 nerve and above was necessary for urinary, faecal and sexual functions.
引用
收藏
页码:396 / 406
页数:11
相关论文
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