涉及腕部（及手部）尺神经和腓总神经的卡压性神经病

[Entrapment neuropathies involving the ulnar nerve at the wrist (and into the hand) and the peroneal nerve].

作者信息

Bouche P, Séror R, Psimaras D, Séror P, Ebelin M

机构信息

Service de neurophysiologie, hôpital de La-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France.

出版信息

Rev Neurol (Paris). 2008 Dec;164(12):1073-6. doi: 10.1016/j.neurol.2008.10.008. Epub 2008 Nov 28.

DOI:10.1016/j.neurol.2008.10.008

PMID:19041106

Abstract

We report our experience with patients who underwent surgery for entrapment neuropathies involving the ulnar nerve at the wrist and into the hand and the peroneal nerve. For the ulnar nerve, the cause of the lesion was identified in all patients, generally a cyst which had developed in the Guyon canal. The patients usually recovered completely. For the peroneal nerve, there was a wide variety of causes, with mucoid cysts frequently involved. Recovery was often incomplete, because of the very marked initial axonal damage. We emphasized the need for rapid diagnosis and surgical treatment.

摘要

我们报告了对因腕部及手部尺神经和腓总神经卡压性神经病而接受手术的患者的治疗经验。对于尺神经，所有患者均明确了病变原因，通常是在 Guyon 管内形成的囊肿。患者通常完全康复。对于腓总神经，病因多种多样，黏液囊肿常与之相关。由于最初存在非常明显的轴突损伤，恢复往往不完全。我们强调了快速诊断和手术治疗的必要性。