Article

A 21-year-old man was left with complete paraplegia and lower extremity sensory loss after a gunshot wound to the 4th lumbar vertebral body. His original injury was a combination of neurapraxia which recovered by resolution of conduction block in several weeks to months ; axonotmesis, which recovered by axon regeneration over several years ; and neurotmesis, which did not recover. The muscle strengthening achieved 14 years after cauda equina injury may represent strengthening of muscle fibers reiinervated after the initial nine-month rehabilitation program. Clinical implications for rehabilitation are discussed including the possible need for a therapeutic trial of muscle strengthening.

Langue : ANGLAIS

Identifiant basis : 1986000496