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Early results of nerve transfers for restoring function in severe cases of acute flaccid myelitis

Annals of Neurology Sep 21, 2019

Pino PA, Intravia J, Kozin SH, et al. - In this retrospective case analysis, researchers examined patients with acute flaccid myelitis (AFM) who underwent nerve transfer surgery between 2007 and 2018, to determine early functional outcomes of nerve transfer surgery in this relatively large cohort of patients. Persistent motor deficits following 6 months from the onset and available donor nerves were the surgical criteria. Of 32 patients with AFM assessed in this study, 16 had nerve transfer surgeries. Findings revealed that nerve transfer surgery was beneficial in patients with AFM with persistent motor deficits 6 to 9 months after onset. This surgery provided more reliable elbow function restoration than the restoration of shoulder function. For timely assessment and management, patients with incomplete recovery should be early referred to a center experienced in nerve transfers.
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