From targeted fascicular biopsy of major nerve to targeted cutaneous nerve biopsy: Implementing clinical anatomy can catalyze a paradigm shift

Discomfort after fascicular sural nerve biopsy.

Sural nerve biopsy may, in selected cases, give valuable information in the investigation of patients with polyneuropathy. The prevalence and severity of patient discomfort after fascicular nerve biopsy was investigated in 67 patients by a mailed questionnaire. A lasting (greater than 6 months) significant discomfort was found in 6 patients (11%), in 3 of these the symptoms were graded as sever...

Comparison between fascicular and whole sural nerve biopsy.

Sural nerve regeneration and sensation were evaluated in 16 subjects five or more years after fascicular or whole nerve biopsy. Conduction studies demonstrated successful nerve regeneration in all subjects who had whole nerve biopsy. Postbiopsy interrogation revealed no long-term pain or paresthesias but a high incidence of tactile-induced dysesthesias. No significant difference was seen when a...

MRI-targeted biopsy: is systematic biopsy obsolete?

INTRODUCTION Although prostate cancer is the most common non-cutaneous cancer in men, it is traditionally diagnosed with a non-targeted, systematic transrectal ultrasound prostate biopsy (TRUS-Bx). This technique has been demonstrated to both under-detect clinically significant (CS) cancer and over-detect clinically insignificant cancer, and performs poorly in patients with a prior negative bio...

a paradigm shift away from method-wise teaching to strategy-wise teaching: an investigation of reconstructive strategy versus communicative strategy

چکیده: هدف اصلی این مطالعه ی توصیفی تحقیقی در حقیقت تلاشی پساروش-گرا به منظور رسیدن به نتیجه ای منطقی در انتخاب مناسبترین راهکار آموزشی بر گرفته از چارچوب راهبردی مطرح شده توسط والدمر مارتن بوده که به بهترین شکل سازگار و مناسب با سامانه ی آموزشی ایران باشد. از این رو، دو راهکار آموزشی، راهکار ارتباطی و راهکار بازساختی، برای تحقیق و بررسی انتخاب شدند. صریحاً اینکه، در راستای هدف اصلی این پژوهش، ر...

Sensory loss from whole sural nerve biopsy.