Diagnostic biopsy of the motor nerve to the gracilis muscle: Clinical pearl

A biopsy specimen of the motor nerve to the gracilis muscle was obtained in 151 patients to aid in the diagnosis of neuromuscular disorders. The procedure is simple, safe, and has low morbidity and complication rates. The surgical technique is described. Indications for the use of this technique are motor neuropathy, motor neuron disease, Guillain-Barre syndrome, and mixed neuropathy with prominent motor symptoms.

[1]  R. Nemni,et al.  Motor nerve biopsy studies in motor neuropathy and motor neuron disease , 1997, Muscle & nerve.

[2]  T. Paternostro-Sluga,et al.  Donor‐Site Morbidity of the Gracilis Flap , 1995, Plastic and reconstructive surgery.

[3]  M. Pollock,et al.  Comparison between fascicular and whole sural nerve biopsy , 1983, Annals of neurology.

[4]  W. E. Moss,et al.  Consistent, effective technique for muscle and nerve biopsy. , 1979, American journal of surgery.

[5]  N. McKee,et al.  Free muscle transplantation to provide active finger flexion. , 1978, The Journal of hand surgery.

[6]  C. Horton,et al.  VAGINAL RECONSTRUCTION WITH GRACILIS MYOCUTANEOUS FLAPS , 1976, Plastic and reconstructive surgery.

[7]  K. Harii,et al.  FREE GRACILIS MUSCLE TRANSPLANTATION, WITH MICRONEUROVASCULAR ANASTOMOSES FOR THE TREATMENT OF FACIAL PARALYSIS: A Preliminary Report , 1976, Plastic and Reconstructive Surgery.

[8]  E. Connolly,et al.  Sural nerve biopsy. Technical note. , 1973, Journal of neurosurgery.

[9]  P. Dyck,et al.  Nerve biopsy. Choice of nerve, method, symptoms, and usefulness. , 1968, The Medical clinics of North America.

[10]  P. Dyck,et al.  Method of fascicular biopsy of human peripheral nerve for electrophysiologic and histologic study. , 1966, Mayo Clinic proceedings.

[11]  J. Graham VAGINAL FISTULAS FOLLOWING RADIOTHERAPY. , 1965, Surgery, gynecology & obstetrics.

[12]  N. Georgiade,et al.  RECTAL SPHINCTER RECONSTRUCTION USING GRACILIS MUSCLE TRANSPLANT , 1954, Plastic and reconstructive surgery.