A hanseníase e a neuropatia através da perspectiva de um cirurgião


  • Frank Duerksen MD. FRCS©. Associate Professor or Surgery, University of Manitoba, Winnipeg, Canada. Honorary consultant in Rehabilation to Instituto Lauro de Souza Lima – Bauru – SP. Brasil.




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1 Hansen GA, Looft C. Leprosy: in its clinical and pathological aspects. London Bristol: John Wright & Co; 1973: 50-51, 123, Plates XI, XII
2 Silveira LM. Tratamento cirúrgico das neurites leprosas agudas. Rev bras Leprol 1938; 6(n. especial):193-196.
3 Kiran KU, Stanley JNA, Pearson JMH. The outpatient treatment of nerve damage in patients with borderline leprosy using a semi-standardized steroid regimen. Leprosy Rev 1985; 56:127-134.
4 Pannikar VK, Ramprasad S, Reddy N Rosi, Andrews P, Ravi K, Fritschi EP. Effect of epicondylectomy in early ulnar neuritis treated with steroids. Int J Leprosy 1984; 52:501-505.
5 Pearson JMH. The use of corticosteroids in leprosy. Leprosy Rev 1981; 52:293-298.
6 Rao KS, Siddalinga Swamy MK. Sensory recovery in the plantar aspect of the foot after surgical decompression of posterior tibial nerve. Possible role of steroids along with decompression. Leprosy Rev 1989; 60:283-287.
7 Roche PW, Theuvenet WJ, Le Master JW, Butlin CR. Contribution of type 1 reactions to sensory and motor function loss in borderline leprosy patients and the efficacy of treatment with prednisone. Int J Leprosy 1998; 66:340-347.
8 Shah A. Evaluation of nerve function deficit. Its improvement by nerve decompression or corticosteroid therapy. Indian J Leprosy 1986; 58:216-224.
9 Sugumaran DST. Steroid therapy for paralytic deformities in leprosy. Int J Leprosy 1997; 65:337-344.
10 Touw-Langendijk Els MJ, Brandsma JW, Andersen JG. Treatment of ulnar and median nerve function loss in borderline leprosy. Leprosy Rev 1981; 52:293-298.
11 Van Brakel WH, Khawas IB. Nerve function impairment in leprosy: an epidemiological and clinical study - Part 2: Results of steroid
treatment. Leprosy Rev 1996; 67:104-118.
12 Chandi SM, Chacko CJG, Fritschi EP, Job CK. Segmental necrotizing granulomatous neuritis of leprosy. Int J Leprosy 1980; 48:41-47.
13 Girdhar BK. Neuritic leprosy. Indian J Leprosy 1996; 68:35-42.
14 Croft RP, Richardus JH, Smith WCS. Field treatment of acute nerve function impairment in leprosy using a standardized corticosteroid regimen - first year's experience with 100 patients. Leprosy Rev 1997; 68:316-325.
15 Croft RP, Nicholls PG, Richardus JH, Smith WCS. The treatment of acute nerve function impairment in leprosy: results from a prospective cohort study in Bangladesh. Leprosy Rev 2000; 71:154-168.
16 Britton WJ. The management of leprosy reversal reactions. Leprosy Rev 1998; 69:225-234. 44 Hansenologia Internationalis
17 Shetty VP, Suchitra K, Uplekar MW, Antia NH. Higher incidence of viable Mycobacterium leprae within the nerve as compared to skin among multibacillary leprosy patients released from multidrug therapy. Leprosy Rev 1997; 68:131-138.
18 Naafs B. Treatment of reactions and nerve damage. Int J Leprosy 1996; 64:S21-S28.
19 Naafs B, Pearson JMH, Wheate HW. Reversal reaction: The prevention of permanent nerve damage. Comparison of short and
long-term steroid treatment. Int J Leprosy 1979; 47:7-12.
20 Stump PRNAG, Baccarelli R, Marciano LHSC, Lauris JRP, Ura S, Teixeira MJ, Virmond MCL Prevalence and characteristics of
neuropathic pain in 358 patients with leprosy. Proceedings of the 10th World Congress on Pain. Progress in Pain Research and
Management. 2003; 24:563-570.
21 Srinivasan H, Rao KS, Shanmugam N. Steroid therapy in recent "Quiet Nerve Paralysis" in leprosy. Leprosy in India 1982; 54:412-419.
22 Van Brakel WH, Khawas IB. Silent neuropathy in leprosy: an epidemiological description. Leprosy Rev 1994; 65:350-360.
23 Antia NH. The significance of nerve involvement in leprosy. Plastic reconstr Surg 1974; 54:55-63.
24 Carayon A, Giraudeau P, Disy P. La composante neuro-vasculaire dans les ulceres plantaires de la lepre. Medecine Tropicale 1978; 38:453-478.
25 Job CK, Victor DBI, Chacko CJG. Progressive nerve lesion in a diseasearrested leprosy patient. An electron microscopic study. Int J Leprosy 1977; 45:255-260.
26 Mahajan PM, Jogaikar DG, Mehta JM. A study of pure neuritic leprosy: clinical experience. Indian J Leprosy 1996; 68:137-141.
27 Palande DD, Bowden REM. Early detection of damage to nerves in leprosy. Leprosy Rev 1992; 63:60-72, 1992.
28 Rose P, Waters MFR. Reversal reactions in leprosy and their management. Leprosy Rev 1991; 62:113-121.
29 Lundborg G. Nerve injury and repair. New York: Churchill Livingstone; 1988. p.64-101.
30 Blair WF, Goetz DD, Ross MA, Steyers CM, Chang P. Carpal tunnel release with and without epineurotomy: A comparative prospective trial. J Hand Surg 1996; 21A: 655-661.
31 Kleinman WB. Cubital tunnel syndrome: Anterior transposition as a logical approach to complete nerve decompression. J Hand Surg 1999; 24A:886-897, 1999.
32 Palande DD. Some clinical and laboratory signs indicating external compression of a nerve trunk in leprosy: Details and Rationale. Leprosy Rev 1976; 47:35-39.33 Dandapat MC, Sahu DM, Mukherjee LM, Panda C, Baliarsing AS. Treatment of leprous neuritis by neurolysis combined with perineural corticosteroid injection. Leprosy Rev 1991; 62:27-34.
34 Pearson JMH. Group workshop Karigiri March 1980. The evaluation of nerve damage in leprosy. Leprosy Rev 1982; 53:119-130.
35 Virmond M, Marciano LHSC, Almeida SN. Resultados de neurolise de nervo ulnar em neurite hansênica. Hansen int 1994;19:5-9.
36 Enna CD, Jacobson RR. A clinical assessment of neurolysis for leprous involvement of the ulnar nerve. Int J Leprosy 1974; 42:162-164.
37 Ebenezer M, Andrews P, Solomon S. Comparative trial of steroids and surgical intervention in the management of ulnar neuritis. Int J Leprosy 1996; 64:282-286.
38 Mehta LN, Shetty VP, Antia NH, Irani PF. Quantitative, histologic and ultrastructural studies of the index branch of the radial cutaneous nerve in leprosy and its correlation with electrophysiologic study. Int J Leprosy 1975; 43:256-264.
39 Owen BM, Stratford CJ. Assessment of the methods available for testing sensation in leprosy patients in a rural setting. Leprosy Rev 1995; 66:55-62.
40 Saunderson P, Gebrre S, Desta K, Byass P, Lockwood DNJ. The pattern of leprosy-related neuropathy in the AMFES patients in Ethiopia: definitions, incidence, risk factors and outcome. Leprosy Rev 2000; 71:285-308.
41 Kazen R. Role of surgery of nerves in leprosy in the restoration of sensibility in hands and feet of leprosy patients. Indian J Leprosy 1996; 68:55-65.
42 Oommen PK. Posterior tibial neurovascular decompression for restoration of plantar sweating and sensibility. Indian J Leprosy 1996; 68:75-82.
43 Pandya NJ, Antia NH. Elective surgical decompression of nerves in leprosy - Technique and results: A preliminary study. Leprosy Rev 1978; 49:53-62.
44 Srinivasan H. Surgical decompression of the ulnar nerve. Indian J Leprosy 1984; 56:529-531.
45 Silva SX. Transposição do nervo ulnar para plano muscular profundo. Arq bras Neurocirurg 1988; 7:167-176.
46 Heithoff SJ. Cubital tunnel syndrome does not require transposition of the ulnar nerve. J Hand Surg 1999; 24A:898-905.
47 Kleinman WB, Bishop AT. Anterior intramuscular transposition of the ulnar nerve. J Hand Surg 1989; 14A:972-979.



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Duerksen F. A hanseníase e a neuropatia através da perspectiva de um cirurgião. Hansen. Int. [Internet]. 30º de junho de 2004 [citado 21º de abril de 2024];29(1):46-50. Disponível em: https://periodicos.saude.sp.gov.br/hansenologia/article/view/35281