Nerve Flashcards
Resting membrane potential of nerve
-70 mV
Classification of nerve injury
Neuropraxia
Axonia with recoverable disturbance of membrane potential at molecular level
DIstortion of myelin sheath
No Wallerian degeneration
Local conduction block
Axonotmesis
Axonal disruption, basal lamina and endoneurium and perineurium intact
Neurotmesis
Nerve completely transected
Factors determining prognosis following nerve injury
Violence of injury
Delay between injury and repair
Age
Gap between nerve ends
Level of injury: Distal injury has better prognosis that proximal
Condition of nerve ends
Association with arterial/ bony injury
Type of nerve: Nerve that innervate one muscle have better prognosis than those with mixed cutaneous and muscle innervation
Classification of nerve
Type A
A-alpha: large, myelinated, fast conduction (skeletal muscle)
A-Beta: Medium, myelinated, moderate conduction (touch)
A- Delta: Medium, myelinated, moderate conduction (Intrafusal fibre)
A-Gamma: Small, myelinated, moderate conduction speed (touch, pressure, temp, pain)
Type B: Preganglionic autonomic nerve
Type C: Slow pain, postganglionic autonomic nerve, slow conduction