علاج متلازمة بيرنر مع انتزاع جذر عصب الضفيرة العضدية والضرر قبل العقدي

References

DOI: 10.3390/app15073510

• The worst form is a Grade IIIB stinger, characterized by nerve root avulsion and pre-ganglionic damage.
• Grade III stingers are irrecoverable through the body's innate healing process and require surgical intervention to facilitate functional recovery.
• Pain is controlled with rest, analgesics, and a cervical collar.
• Cervical region epidural injections can also be used; however, utmost caution should be exercised because of the risks of traumatizing the cord directly during the procedure or indirectly due to the high pressure from administering medication in a narrowed and compromised canal.
• The current suggestion is to wait 3 to 6 months to allow reinnervation and settle concomitant injuries that make surgery unfeasible.