Zeeshan Muhammad, Ahmed Farhan, Kanwal Darakhshan, Khalid Qazi Saad Bin, Ahmed Muhammad Nadeem
Department of Diagnostic Radiology, Aga Khan University Hospital, Stadium Road, P O Box 3500, Karachi, Pakistan.
Cases J. 2009 Dec 23;2:9390. doi: 10.1186/1757-1626-2-9390.
The Guyon's canal syndrome is a well known clinical entity and may have significant impact on patient's quality of life. We report a case of 43-year-old male who presented with complaints of pain and numbness in right hand and difficulty in writing for past one month. On imaging diagnosis of Guyon's canal syndrome because of tortuous ulnar artery was made with additional findings of DeQuervain's stenosing tenosynovitis and dorsal intercalated segmental instability syndrome with ligamentous injury and subsequently these were confirmed on surgery.Although it is a rare syndrome, early diagnosis and treatment prevents permanent neurological deficits and improve patient's quality of life.
盖氏管综合征是一种广为人知的临床病症，可能对患者的生活质量产生重大影响。我们报告一例43岁男性患者，他在过去一个月出现右手疼痛、麻木及书写困难的症状。经影像学检查诊断为因尺动脉迂曲导致的盖氏管综合征，同时还发现了桡骨茎突狭窄性腱鞘炎及伴有韧带损伤的背侧嵌入节段性不稳定综合征，随后这些在手术中得到证实。尽管这是一种罕见综合征，但早期诊断和治疗可预防永久性神经功能缺损并改善患者生活质量。
