Peripheral nerve injury

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  • Distal to an injury axon degenerates (Wallerian degeneration)
  • Axon becomes beaded and fragments within a few days
  • Phagocytic cells (derived from Schwann cells in PNS, microglia in CNS) remove myelin and axon fragments.
  • Schwann cells and basal lamina remain as tubular structures.
  • Nerve injury leads to chromatolysis (loss of Nissl substance from nerve cell body
  • Scar tissue forms from Schwann cells and connective tissue
  • Schwann cell divide and bridge gap between ends of nerve
  • large numbers of new axonal processe emerge from proximal stump
  • Schwann cell bridges serve to guide axonal processes
  • Sucessful sprouts grow at about 3mm/day
  • Remaining Schwann cells guide axons to their destination
  • Function restored
 

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