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隐神经在失眠中的作用:不宁腿综合征的一种病因假说。

The role of the saphenous nerve in insomnia: a proposed etiology of restless legs syndrome.

作者信息

Lewis F

出版信息

Med Hypotheses. 1991 Apr;34(4):331-3. doi: 10.1016/0306-9877(91)90049-5.

DOI:10.1016/0306-9877(91)90049-5
PMID:1865839
Abstract

Entrapment of the saphenous nerve after emergence from its lumbar roots and before its distribution to the medial surface of the leg is suggested as a cause of Restless Legs Syndrome (other anomalies of the saphenous nerve, especially those where the nerve is part of a general neuropathy, are not considered here). This finding is supported by evidence which: 1) identifies Restless Legs Syndrome as a nerve entrapment syndrome from: the dysesthesia in Meralgia Paresthetica, the paraesthesiae of Carpal Tunnel Syndrome and the poorly localized pain in pronator syndrome and suprascapular nerve entrapment; 2) isolates the saphenous nerve as the entrapped nerve from the patient's difficulty in identifying the precise area of sensation in saphenous nerve entrapment at Hunter's Canal; 3) localizes the pelvic region as the site of entrapment from rates of Restless Legs Syndrome of 11 and 19% in pregnant women, a correlation between chronic nonspecific prostatitis and Restless Legs Syndrome.

摘要

隐神经从腰神经根发出后至分布到小腿内侧之前受到卡压被认为是不宁腿综合征的一个病因(此处不考虑隐神经的其他异常情况,尤其是那些神经作为一般神经病变一部分的情况)。这一发现得到了以下证据的支持:1)从不宁腿综合征与感觉异常性股痛的感觉异常、腕管综合征的感觉异常以及旋前圆肌综合征和肩胛上神经卡压的定位不明确的疼痛等方面,将不宁腿综合征确定为一种神经卡压综合征;2)从患者难以确定亨特管处隐神经卡压的精确感觉区域,将隐神经确定为被卡压的神经;3)从孕妇中不宁腿综合征发生率为11%和19%,慢性非特异性前列腺炎与不宁腿综合征之间的相关性,将盆腔区域确定为卡压部位。

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The role of the saphenous nerve in insomnia: a proposed etiology of restless legs syndrome.隐神经在失眠中的作用:不宁腿综合征的一种病因假说。
Med Hypotheses. 1991 Apr;34(4):331-3. doi: 10.1016/0306-9877(91)90049-5.
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Predisposing factors of restless legs syndrome in pregnancy.妊娠期不安腿综合征的诱发因素。
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Meralgia paresthetica: electrophysiologic study.股外侧皮神经痛:电生理研究
Arch Phys Med Rehabil. 1979 Jan;60(1):30-1.
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Painful legs and moving toes associates with tarsal tunnel syndrome and accessory soleus muscle.疼痛性腿部与活动足趾伴跗管综合征及副比目鱼肌有关。
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Leg cramps and restless legs syndrome during pregnancy.孕期腿部抽筋和不安腿综合征
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Peripheral nerve entrapment syndromes.周围神经卡压综合征
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Nerve entrapment syndromes of the lower limb.下肢神经卡压综合征
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Meralgia paresthetica-like syndrome may be caused by transient lumbar nerve root injury without definite compression: a case report.感觉异常性股痛样综合征可能由无明确压迫的短暂性腰神经根损伤引起:一例报告
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Restless legs syndrome in the elderly.老年人的不宁腿综合征
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引用本文的文献

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Nerve Decompression and Restless Legs Syndrome: A Retrospective Analysis.神经减压与不宁腿综合征:一项回顾性分析。
Front Neurol. 2017 Jul 6;8:287. doi: 10.3389/fneur.2017.00287. eCollection 2017.
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Anatomy and potential clinical significance of the vastoadductor membrane.股大收肌膜的解剖结构及其潜在临床意义
Surg Radiol Anat. 2007 Oct;29(7):569-73. doi: 10.1007/s00276-007-0230-4. Epub 2007 Jul 7.