The treatment of peripheral nerve lesions still represents a challenge in spite of today's diagnostic and surgical sophistication. Clear anatomo-clinical and surgical notions must guide the treatment planning in this field which has been somewhat «neglected» by clinical neurosurgery. The results can be spectacular, nevertheless the decisive information will often be acquired only after surgical exposure that is in situ. The basic prerequisite or principIe is to be able to create optimal conditions for axonal regrowth.
El tratamiento de lesiones de los nervios periféricos sigue representando un desafío a pesar de los avances diagnósticos y la sofisticación quirúrgica. Claros conceptos anatomo-clínicos y quirúrgicos deben de guiarnos a la hora de planear un tratamiento en este campo el cual ha sido en parte «olvidado» por la neurocirugía clínica. Si bien los resultados pueden ser espectaculares, con mucha frecuencia tendremos la información decisiva sólo después de haber expuesto el campo quirúrgico, es decir, «in situ». El principio básico es obtener o crear condiciones óptimas para la regeneración axonal.
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