01657nas a2200325   4500000000100000008004100001260000900042653001500051653003000066653001100096653002200107653001100129653002300140653001200163653000900175653003200184653002200216653002600238653002200264100001900286700001600305700001300321700001600334245018600350300001000536490000700546050002100553520074300574022001401317       1994                            d  c199410aAdolescent10aCombined Modality Therapy10aFemale10aFollow-Up Studies10aHumans10aLeprostatic Agents10aleprosy10aMale10aNerve Compression Syndromes10aPeripheral nerves10aRetrospective Studies10aTreatment Outcome1 aRamarorazana S1 aDi Schino M1 aRene J P1 aSchwarz L E00a[Results of 466 nerve decompressions in 123 leprosy patients during polychemotherapy with a minimum follow-up of one year. Value of preventive surgery in a leprosy control program].  a115-70 v61  aRAMARORAZANA19953 a<p>The clinical expression of leprosy is primarily cutaneous but its serious neurologic manifestations are maiming. Mutilations mainly of limb ends are due to peripheric nerves compression and may appear before or during the clinical treatment of the illness. Their appearance which is not automatically related to multiple Hansen's bacilli, may be prevented surgically by nervous decompression. The authors report their experiences of 466 nervous decompressions of 123 patients (89 men and 34 women), among them, 14 were pauci-bacillary and 109 multi-bacillary. They conclude that very good results (complete recovery or improvement of sensitivity, disappearing of pain) have been obtained through simple and easy-to-learn surgeries.</p>  a0020-2495