Ginanneschi Federica, Filippou Georgios, Milani Paolo, Biasella Alessia, Rossi Alessandro
Department of Neurological and Behavioural Sciences, Clinical Neurophysiology Unit, University of Siena, Siena, Italy.
Arch Phys Med Rehabil. 2009 Mar;90(3):522-4. doi: 10.1016/j.apmr.2008.09.568.
This report is the first account of Guyon's syndrome after the bilateral use of forearm crutches. Crutch palsy is usually neuropraxic in nature and associated with clinical and electrophysiologic recovery of nerve function, especially if patients are instructed to not bear excessive weight on the wrist. The present case history follows this pattern. In establishing the diagnosis of a focal compression neuropathy, a combination of clinical assessment and neurophysiologic studies are typically used. This report describes the additional application of ultrasound imaging to verify the diagnosis and to track changes in the appearance of the nerve during follow-up.
本报告首次阐述了双侧使用前臂拐杖后发生的盖恩综合征。拐杖麻痹本质上通常为神经失用，并与神经功能的临床及电生理恢复相关，尤其是在患者被指导不要在手腕上承受过重重量的情况下。本病例即遵循此模式。在诊断局灶性压迫性神经病变时，通常会结合临床评估和神经生理学研究。本报告描述了超声成像的额外应用，以验证诊断并在随访期间追踪神经外观的变化。
