Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer

Figure 3

Neuroplasticity responsible for unfavorable clinical results after a hypoglossal-to-musculocutaneous nerve transfer. The distance between the tongue cortical area (hypoglossal nerve) and the arm representation (musculocutaneous nerve) is greater than that between the tongue cortical area (hypoglossal nerve) and the musculus facialis representation (facial nerve). This distance obscures the formation of the new connection to generate the cortical shifting.