ArticleActa neurochirurgica2022
Lumbar nerve root biopsy with fascicle dissection and functional mapping: how I do it.
Article in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors at 3 institutions in 1 country.
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Abstract
backgroundLumbosacral plexopathies with unclear etiology are a rare entity. In certain cases, if workup unrevealing and medical management is suboptimal, an open lumbar nerve root biopsy may be considered.
methodA standard lumbar laminectomy is performed for access to the intradural contents. The dura is opened at midline in a standard fashion. Single nerve roots are selected and stimulated for an EMG response. A nerve fascicle is then dissected and stimulated before excision.
conclusionLumbar nerve root biopsy is feasible and safe. All non-invasive workup needs to be completed and negative before performing this procedure.
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