Issue release date: 12.11.2024
2Gulhane Military Medical Academy, Department of Neurosurgery, Ankara, Turkey
3Gulhane Military Medical Academy, Department of Radiation Oncology, Ankara, Turkey
4Gulhane Military Medical Academy, Department of Neurology, Ankara, Turkey
5Gulhane Military Medical Academy, Department of Histology, Ankara, Turkey DOI : 10.5137/1019-5149.JTN.5039-11.1 AIM: Peripheral nerve regeneration is often blocked by scar formation and misdirection of axon sprouts. The aim of this study is to evaluate electrophysiological and histopathological effects of low-dose radiation therapy on the prevention of intraneural scar formation in peripheral nerve injury.
MATERIAL and METHODS: In this experimental study, twenty rats were randomly divided into two groups. Left sciatic nerves were exposed and clipped by temporary aneurysm clip for 5 minutes in both groups. In all animals, electrophysiological recordings were performed between 22-24 hours after sciatic nerve injury. The control group was not given any treatment. In the experimental group, 700 cGy low-dose radiation was administered on the left sciatic nerves 24 hours after clipping. Six weeks after injury, electrophysiological recordings were performed in both groups and animals were sacrificed to evaluate the injured nerves histopathologically.
RESULTS: We observed that low-dose radiotherapy increased the amplitude and improved latency measurements in electrophysiological examinations. Histopathologically, more axonal degeneration and vacuolization was observed in the control group comparing with the experimental group. Endoneural space increased slightly more in the control group than the experimental group.
CONCLUSION: It was observed that low-dose radiotherapy may prevent intraneural scar formation and may improve electrophysiological recovery in sciatic nerve injury performed in rats.
Keywords : Clipping, Intraneural scar, Peripheral nerve injury, Radiotherapy