Zusammenfassung
Die symmetrische periphere Neuropathie ist eine häufige Komplikation des Diabetes mellitus. Es gibt bisher keine wirksame Behandlung der hiermit einhergehenden Schmerzen und sensiblen Störungen.
In der Vorstellung, dass eine gestörte Glukosetoleranz periphere Nervenkompressionen begünstigt, haben Dellon et al. ein Behandlungsmodell für die diabetische Polyneuropathie entwickelt, mit dem Ziel, die Sensibilität zu verbessern und Sekundärschäden wie Ulcera und Amputationen zu reduzieren, bzw. zu verhindern.
Trotz mehrerer großer Studien ist das Verfahren umstritten. Auch bei multipler Nervenläsionen im Verlauf einer Lepra ist der Wert operativer Dekompressionen nicht gesichert.
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Literatur
Aszmann OC, Kress KM, Dellon AL(2000) Results of decompression of peripheral nerves in diabetics: a prospective, blinded study. Plast Reconstr Surg 106:816–22
Chaudry V, Russell J, Belzberg A (2008) Decompression surgery of lower limbs for symmetrical diabetic peripheral neuropathy. Cochrane Database Syst Rev:CD006152
Dellon AL (2008) The four medial ankle tunnels: a critical review of perceptions of tarsal tunnel syndrome. Neurosurg Clin N Am 19:629–648
Dellon AL, Muse VL, Nickerson DS et al. (2012a) Prevention of ulceration, amputation, and reduction of hospitalization: outcomes of a prospective multicenter trial of tibial neurolysis in patients with diabetic neuropathy. J Reconstr Microsurg 28:241–246
Dellon AL, Muse VL, Scott ND et al. (2012b) A positive Tinel sign as predictor of pain relief or sensory recovery after decompression of chronic tibial nerve compression in patients with diabetic neuropathy. J Reconstr Microsurg 28:235–240
Ducic I, Taylor NS, Dellon AL (2006) Relationship between peripheral nerve decompression and gain of pedal sensibility and balance in patients with peripheral neuropathy. Ann Plast Surg 56:145–150
Ferguson JS1, Franco J, Pollack J et al. (2010) Compression neuropathy: a late finding in the postburn population: a four-year institutional review. J Burn Care Res 2010 31(3):458–61.
Knobloch K, Gohritz G, Vogt PM (2012) Surgical decompression of the lower leg in painfull diabetic polyneuropathy. Oper Orthop Traumatol 24:74–79
Lincoln NB, Radfort KA et al. (2008) Education for secondary prevention of foot ulcers in people with diabetes: a randomised controlled trial. Diabetologia 111:1954–1961
Nickerson DS, Rader AJ (2013) Low long‐term risk of foot ulcer recurrence after nerve decompression in a diabetes neuropathy cohort. J Am Podiatr Med Assoc 103:380–386
Van Veen NH, Schreuders TA, Theuvenet WJ et al. (2012) Decompressive Surgery for treating nerven damage in leprosy. Cochrane Database Syst Rev:CD006983
Valdivia JM, Weinand M, Malconey CT Jr et al. (2013) Surgical treatment of superimposed, lower extremity, peripheral nerve entrapments with diabetic and idiopathic neuropathy. Ann Plast Surg 70:675–679
Wood WA, Wood MA(2003) Decompression of peripheral nerves for diabetic neuropathy in the lower extremity. J Foot Ankle Surg 42:268–275
Wu C, Calvert CT, Cairns BA et al. (2013) Lower extremity nerve decompression in burn patients. Ann Plast Surg 70:563–567
Zhang W, Li S Zheng X (2013) Evaluation of the clinical efficacy of multiple lower extremity nerve decompression in diabetic peripheral neuropathy. J Neurol Surg A Cent Eur Neurosurg 74:96–100
Zhang W, Zhong W, Yang M et al. (2013) Evaluation of the clinical efficacy of multiple lower‐extremity nerve decompression in diabetic peripheral neuropathy. Br J Neurosurg 27:795–799
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Assmus, H. (2015). Multiple Nervendekompressionen bei diabetischer Polyneuropathie, Lepra und Verbrennungen der Extremitäten. In: Assmus, H., Antoniadis, G. (eds) Nervenkompressionssyndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55212-0_18
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