01920nas a2200265   4500000000100000008004100001260001700042653001800059653001600077653002200093653001100115653001200126653001200138653001300150653002200163653002400185100001400209700002400223700001700247245006200264300001000326490000600336520129800342022001401640       1985                            d  c1985 Jan-Mar10aAcute disease10aEmergencies10aFollow-Up Studies10aHumans10aleprosy10aMethods10aNeuritis10aPeripheral nerves10aRegional Blood Flow1 aCarayon A1 aVan Droogenbroeck J1 aLanguillon J00a[Surgical decompression of neuritis of Hansen's disease].  a37-660 v33 a<p>The recent progress were focused on: the identification of the general immunological mechanism of the hansenian neuritis, demonstrated by endoneural biopsies; the different pathology of the two categories of neuritis; the pathophysiologic derangements, inducing hypoxia or anoxia in the truncular involved segment. The adjuvant role of the canals is important; the clinical differences of the two categories of neuritis and the cases we shall treat by emergency; the importance of antireactionnal treatment and of the notation by tests for the study of the results. The goals are the hemodynamic decompression, useful in the first stage of ENL neuritis, the mechanical decompression of neural fasciculus and the urgent exeresis of necroses or evacuation of febrile abscess. Three technics a re studied: Extraneural and epineural decompression fascicular endoneural necrosis, neurolysis and complex neurolysis for evaluated ENL neuritis and for endoneural necrosis. The different indication according to the two categories: medico-surgical treatment for ENL neuritis, and according the precocity and the delay of the antireactional treatment, and also the absolute emergency of the necrosis and febrile abscess. The results of the treatment of 258 cases of recent neuritis are presented.</p>  a0001-5938