A review of therapeutic nerve decompression for neuropathy in Hansen's disease with research suggestions.
Nerve decompression surgery for leprosy neuritis has a long history and large literature. New understanding of the high frequency of spontaneous recovery from nerve function impairment requires re-evaluation of the value of decompression in acute nerve dysfunction with strong evidence-based protocols. Several reports and theoretical considerations suggest research avenues that might offer hope for prevention of long-term complications and relief of impairment and disabilities.
Nickerson
D Scott
DS
Northeast Wyoming Wound Clinic, Sheridan Memorial Hospital, Big Horn, Wyoming 82833, USA. thenix@fiberpipe.net
Nickerson
David E
DE
D019299:Decompression, Surgical / Q000379:methods*; D004185:Disability Evaluation; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007918:Leprosy / Q000150:complications / Q000601:surgery*; D008297:Male; D009443:Neuritis / Q000209:etiology / Q000601:surgery*; D010147:Pain Measurement; D011115:Polyneuropathies / Q000209:etiology / Q000601:surgery; D012106:Research; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome