Iatrogenic lesions of peripheral nerves |
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| Authors: | W. N. Löscher J. Wanschitz S. Iglseder A. Vass S. Grinzinger P. Pöschl W. Grisold M. Ninkovic G. Antoniadis M.T. Pedro R. König S. Quasthoff W. Oder J. Finsterer |
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| Affiliation: | 1. Department of Neurology, Medical University Innsbruck, Innsbruck, Austria;2. Department of Neurology, Barmherzige Brüder Linz, Linz, Austria;3. Private Practice, Vienna, Austria;4. Department of Neurology, Paracelsus Private Medical University, Salzburg, Austria;5. Barmherzige Brüder Regensburg, Regensburg, Germany;6. Department of Neurology, Kaiser‐Franz‐Josef Spital, Vienna, Austria;7. Department of Physical Medicine and Rehabilitation, Medical University Innsbruck, Innsbruck, Austria;8. Neurosurgical Clinic, University of Ulm and Province Hospital, Günzburg, Germany;9. Department of Neurology, Graz Medical University, Graz, Austria;10. AUVA Rehabilitation Center Wien Meidling, Vienna, Austria;11. Krankenanstalt Rudolfstiftung, Vienna, Austria |
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| Abstract: | Iatrogenic nerve lesions (INLs) are an integral part of peripheral neurology and require dedicated neurologists to manage them. INLs of peripheral nerves are most frequently caused by surgery, immobilization, injections, radiation, or drugs. Early recognition and diagnosis is important not to delay appropriate therapeutic measures and to improve the outcome. Treatment can be causative or symptomatic, conservative, or surgical. Rehabilitative measures play a key role in the conservative treatment, but the point at which an INL requires surgical intervention should not be missed or delayed. This is why INLs require close multiprofessional monitoring and continuous re‐evaluation of the therapeutic effect. With increasing number of surgical interventions and increasing number of drugs applied, it is quite likely that the prevalence of INLs will further increase. To provide an optimal management, more studies about the frequency of the various INLs and studies evaluating therapies need to be conducted. Management of INLs can be particularly improved if those confronted with INLs get state‐of‐the‐art education and advanced training about INLs. Management and outcome of INLs can be further improved if the multiprofessional interplay is optimized and adapted to the needs of the patient, the healthcare system, and those responsible for sustaining medical infrastructure. |
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| Keywords: | peripheral nerves trauma surgery drugs radiation nerve reconstruction complication iatrogenic lesion |
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