Kravale I A, Berzińsh Iu E
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(4):6-10.
Neuropathies of the sural nerve, deep peroneal nerve and tibial nerve at the level of the tendinous arch of the musculus soleus pertain to the little-known forms of compression neuropathies. Examinations of 36 patients with 57 cases of such compression neuropathies have demonstrated that the main etiological moments of the disease are orthopedic diseases, illnesses of the joints and veins of the lower limbs and loading factor. The major clinical symptoms of the disease are spontaneous pains at the site of nerve compression, paresthesias, disorders of sensitivity in the area of innervation of the damaged nerve as well as pains on palpation at the level of nerve compression. Diagnosis is verified by the positive tests inducing pains and paresthesias and by stimulation electromyography. The principal treatment method lies in paraneural injection of glucocorticoids.
腓肠神经、腓深神经和比目鱼肌腱弓水平处胫神经的神经病变属于鲜为人知的压迫性神经病变形式。对36例患者的57例此类压迫性神经病变进行检查后发现，该疾病的主要病因是骨科疾病、下肢关节和静脉疾病以及负荷因素。该疾病的主要临床症状为神经受压部位的自发疼痛、感觉异常、受损神经支配区域的感觉障碍以及神经受压水平处触诊时的疼痛。通过诱发疼痛和感觉异常的阳性试验以及刺激肌电图来确诊。主要治疗方法是在神经旁注射糖皮质激素。
