Nonselective nerve fibre damage in peripheral nerves after experimental thermocoagulation

被引:18
作者
Fröhling, MA
Schlote, W
Wolburg-Buchholz, K
机构
[1] Univ Frankfurt, Orthopad Univ & Poliklin, D-6000 Frankfurt, Germany
[2] Univ Frankfurt, Neurol Inst, D-6000 Frankfurt, Germany
[3] Univ Tubingen, Inst Pathol, D-72074 Tubingen, Germany
关键词
thermocoagulation; peripheral nerve; selective vulnerability;
D O I
10.1007/s007010050253
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In this study the morphological effects of local heat application by controlled thermocoagulation to the sciatic nerve of rabbits are investigated. It concentrates on the question of a possible selective elimination of nerve fibres depending on their calibers. Temperatures of 50 degrees C, 55 degrees C, 60 degrees C, 70 degrees C and 90 degrees C were applied for 45 seconds. The nerves were examined histolgically after 2-3 minutes, 7 and 12 days and 5 weeks. The light and electronmicrographs show no differential vulnerability of small myelinated or unmyelinated fibres as proposed by Sweet and Wepsic [20]. At a temperature of 50 degrees C no fibre is damaged whereas at 60 degrees C the fibre damage extends over nearly the total cut surface of the nerve. Even at the critical temperature of 55 degrees C affecting only part of the cross-section no predilection of any fibre caliber was observed. In summary thermocoagulation seems not to be able to cause selective fibre damage.
引用
收藏
页码:1297 / 1302
页数:6
相关论文
共 22 条
[1]   EFFECTS OF SUSTAINED PERFUSION COOLING OF SUBARACHNOID SPACE [J].
ALBIN, MS ;
WHITE, RJ ;
MACCARTY, CS .
ANESTHESIOLOGY, 1963, 24 (01) :72-&
[2]   INDUCED HYPOTHERMIA IN PERIPHERAL-NERVE - ELECTRON-MICROSCOPIC AND ELECTROPHYSIOLOGICAL OBSERVATIONS [J].
BASBAUM, CB .
JOURNAL OF NEUROCYTOLOGY, 1973, 2 (02) :171-187
[3]  
Choudhury B K, 1991, J Indian Med Assoc, V89, P294
[4]  
DENNYBROWN D, 1945, J NEUROPATHOL EXP NE, V4, P304
[5]  
Duncan D., 1943, ANESTHESIOLOGY, V4, P465
[6]   MODERN TRENDS IN SURGICAL TREATMENT OF TRIGEMINAL NEURALGIA [J].
GUIDETTI, B ;
FRAIOLI, B ;
REFICE, GM .
JOURNAL OF MAXILLOFACIAL SURGERY, 1979, 7 (04) :315-319
[7]   SENSORY AND AUTONOMIC MEASUREMENTS IN IDIOPATHIC TRIGEMINAL NEURALGIA BEFORE AND AFTER RADIOFREQUENCY THERMOCOAGULATION - DIFFERENTIATION FROM SOME OTHER CAUSES OF FACIAL-PAIN [J].
HAMPF, G ;
BOWSHER, D ;
WELLS, C ;
MILES, J .
PAIN, 1990, 40 (03) :241-248
[8]  
HARTL F, 1913, LANGENBECKS ARCH CHI, V100, P193
[9]  
Kirschner M, 1936, LANGENBECKS ARCH KLI, V186, P225
[10]   EFFECT OF RADIOFREQUENCY CURRENT AND HEAT ON PERIPHERAL NERVE ACTION POTENTIAL IN CAT [J].
LETCHER, FS ;
GOLDRING, S .
JOURNAL OF NEUROSURGERY, 1968, 29 (01) :42-&