UCLA Health excellence in peripheral nerve disorders
我们周围神经项目的专家提供协作的，最先进的护理. 我们是皇冠hga025外周神经修复和修复的最高容量中心之一. 我们的医生积极研究和治疗所有类型的周围神经疾病, injuries and tumors.
Highlights of our program include:
Multispecialty treatment: Our experts work closely with multiple specialists, including plastic surgeons, thoracic surgeons, head and neck surgeons and vascular surgeons. 我们是皇冠hga025唯一一家以团队为基础治疗周围神经疾病的机构.
Full-spectrum, coordinated care: 患者可以在一个环境中使用我们提供的所有程序，简化他们的护理. 我们可以很容易地根据需要进行转诊，并且可以轻松地访问皇冠hga025大学洛杉矶分校健康中心的各种专科医生.
Physician expertise: Our specialists have advanced fellowship training in peripheral nerve disorders, allowing us to offer the most comprehensive care possible for these conditions. As an academic center, UCLA Health offers a high level of care and expertise.
State-of-the-art technology: 我们使用最先进的设备来诊断和治疗周围神经疾病. Our operating rooms feature the most modern technology, including image guidance, robotics and computer assistance.
Research emphasis: 我们积极参与周围神经疾病的前沿研究, injuries and treatments. 我们的研究包括与世界一流的皇冠hga025大学洛杉矶分校健康生物工程师合作，研究新的和创新的治疗方案, such as artificial nerves and advanced nerve stimulation technology.
Peripheral nerve disorders we treat
Peripheral nerves are the nerves outside the spinal cord and brain. They carry messages between the brain and the rest of the body. An injury or disorder may interrupt these nerve signals, causing a range of symptoms that may alter sensation, produce pain or cause weakness.
我们为影响周围神经的一系列疾病提供全方位的护理，包括:
Brachial plexus injuries: 对神经的损害，从颈部开始，延伸到手臂和手，可能导致瘫痪
Carotid body tumors: 颈动脉一种生长在颈部一侧的赘生物，在那里，向大脑输送血液的大血管(颈动脉)分裂成更小的血管分支
Carpal tunnel syndrome: 压迫从前臂到手掌的正中神经
Facial pain: Any type of pain that affects the face and mouth region, possibly arising from conditions that affect the trigeminal nerve
Neurofibromas: Tumors that grow on nerves, leading to soft bumps on or beneath skin
Occipital neuralgia: Pain in the nerves that run from the base of the neck through the scalp, often causing sharp or burning pain at the back of the head
Peripheral neuropathy: Nerve damage that causes numbness or weakness in the hands or feet
Peroneal nerve compression: Irritation or pinching in the peroneal nerve, 坐骨神经的分支，控制帮助脚趾和脚踝抬起的肌肉
Schwannomas: 起源于雪旺细胞的肿瘤，这种细胞支持和保护神经细胞
Thoracic outlet syndrome: 胸痹以压迫或刺激胸廓出口处的血管或神经为特征的一组疾病, the space between the first rib and collarbone
Traumatic nerve injuries: 任何由外伤引起的神经损伤，如车祸、跌倒或运动损伤
Trigeminal neuralgia: A chronic pain condition that affects the trigeminal nerve in your head, causing sharp, electric-like pain along the lower portion of the face and jaw
Ulnar nerve compression: 尺神经是手臂的三个主要神经之一，受到刺激或挤压
Tests and procedures we offer
我们的周围神经专家进行全面的评估，以准确诊断周围神经损伤和疾病. We offer a wide range of advanced, effective treatment options.
Peripheral nerve disorder diagnosis
We use a variety of diagnostic tests, including:
Electromyogram (EMG): This test measures the electrical activity in muscles and nerves. The provider places a needle through the skin and into certain muscles, then asks the patient to contract these muscles. 电活动用图形显示在一种叫做示波器的设备上.
MR neurogram: 与传统的核磁共振成像类似，这种测试使用磁铁和无线电波来观察神经. 我们使用最先进的核磁共振扫描仪来准确地观察周围神经. Patients lie in the MRI machine, which looks like a cylinder open at both ends, as the machine takes images.
Nerve conduction study: This test measures the speed at which electrical signals move through nerves. The provider attaches metallic pads to the patient’s skin, then stimulates nerves with mild electrical impulses. The electrodes detect the impulses, allowing providers to calculate how fast the impulse moves between nerves.
Positron emission tomography (PET) scan: This test evaluates the function of different tissues and organs. It uses an injection of a special dye with a radioactive tracer. The tracer collects in areas of the body with high chemical activity, showing up brightly on the PET scan.
Tractography and diffusion MRI: 神经束造影使用来自特殊扩散核磁共振成像的数据来创建神经束的3D图像. Diffusion MRI measures how water molecules move in tissue. 当我们观察水分子如何沿着大脑的白质或线路移动时, it can give us information about brain injuries and damage.
Peripheral nerve treatments
We offer a wide range of advanced procedures, including:
Deep brain stimulation (DBS): Our highly trained neurosurgeon can implant electrodes within the brain. 这些电极连接到放置在胸部的电池组(发电机)上，向目标大脑区域发送小的电脉冲. DBS可以治疗面部或身体疼痛，而其他侵入性较小的技术对这些疼痛没有反应.
Dorsal root entry zone (DREZ) lesioning: 神经外科医生进行精细的手术，烧毁脊髓的小区域(背根进入区)，以消除异常的疼痛信号. DREZ损伤可减轻70%左右周围神经损伤患者的疼痛, particularly specific types of injuries often seen after accidents.
Nerve decompression: 神经外科医生在受影响的神经附近做一个小切口，小心地移走血管, scar tissue or tumors compressing the affected nerve. We may use this to treat occipital neuralgia, piriformis syndrome, peroneal nerve compression, carpal tunnel syndrome or ulnar nerve compression.
Nerve repair: 在严重的损伤中，神经可能会受损到无法自行愈合的程度. 神经外科医生可以通过手术切除神经的受损部分，并重新连接起功能的神经末梢. This may be a treatment for brachial plexus or traumatic nerve injuries.
Nerve transplant: A surgeon removes the damaged portion of a nerve, then replaces it with a piece of nerve (graft) from another area of the body. This procedure may treat severe traumatic or brachial plexus nerve injuries.
Neurolysis: Scar tissue may form after an injury or surgery and compress a nerve. 在神经松解术中，外科医生小心地从受影响的神经上去除疤痕组织以释放它. The procedure is similar to nerve decompression.
Peripheral nerve stimulation: 外科医生在皮肤下的特定周围神经附近放置一根小导线(电极). The electrodes connect to a generator, which sends electrical impulses to the nerves to disrupt pain signals. This treatment may be an option for nerve injuries, trigeminal neuralgia, occipital neuralgia or peripheral neuropathy.
Radiofrequency ablation: 神经外科医生使用x射线引导针头穿过皮肤，将其定位在周围神经上. 这种技术使用射频加热来降低神经向大脑发送疼痛信号的能力. This option effectively treats trigeminal neuralgia in 70% to 80% of patients.
Spinal cord stimulation: 神经外科医生在脊髓附近植入一根或多根带有电极的导线. 导线连接到插入在腰围周围皮肤下面的发电机上. 然后，发电机充当起搏器，向脊柱发送电脉冲. 病人可以用遥控器控制发电机，这样它就会在需要的时候发出脉冲来干扰疼痛信号. This surgical option can treat chronic pain or peripheral neuropathy.
Vagus nerve stimulation: 迷走神经刺激器(VNS)是一根缠绕在颈部特定周围神经(迷走神经)上的小导线. It connects to a pulse generator placed under the skin in the upper chest. 导线持续或根据需要向迷走神经发送小的电脉冲. VNS is useful in treating certain forms of epilepsy and depression, and for enhancing post-stroke rehabilitation.
Our expert team
我们的医生是检测、诊断和治疗周围神经疾病的专家. 我们有先进的专业培训，使我们能够为这些条件提供全方位的可用程序. Patients benefit from a multispecialty, coordinated care approach.
Neurosurgical Faculty
Consultant
Fredric L. Edelman, MD, F.A.C.S.
Clinical Professor, Department of Neurosurgery
Colleagues in Other Departments
Michael C. Graves, MD
Contact us
Call 310-825-2631 to request an appointment with a peripheral nerve specialist at UCLA Health.
Find your care
We actively diagnose and treat a wide variety of peripheral nerve disorders, using the most advanced techniques. Call 310-825-2631 to learn more about our services.