nerve injury Flashcards
Neurotmesis
severed trauma knife, glass
severance of entire nerve ending
wallerainn degneration occurs
surgery required
Axonotmesis
loss of sxon and myelin cointunity.
wallerian degenration occurs
object traums, acute crushing forces
Neurapraxia
wallerian doesnt occur
neural tissue still in tact
compression of mylein sheath
sensory receptors how long can be maintained?
2- 3 years
How long do motor fibres last
up to 3 weeks
Limits to regeneation
scar tissue
if schawnn cell tube is not re-populated by the axon within 4 months it will close
More distal the better chance the regenerating
Motor fibres will atrophy after 3 weeks after injury. end plates can be maintained for 1 year
sensory up to 2-3 years
Regeneration (several months)
Schawnn cells form tube for growth and produce neurtrophic factors
(neural growth factors)
Axonal buds grow down the tube and reconnect with muscle and sensory tissues (1-1.5mm per day)
Wallerian Degenration meaning
biochemical changes that occur in axons and Schwann cells distal to the site of inury
first 3-5 days injury