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酷似四边孔综合征的腋神经病变及其一年随访

Axillary neuropathy mimicking quadrilateral space syndrome and its follow up for one year.

作者信息

Turker Hande, Sarica Murat, Bilgici Ayhan, Cengiz Nilgun, Onar Musa K, Us Onder

机构信息

Department of Neurology, Faculty of Medicine, Ondokuzmayis University, 55139 Samsun, Turkey. Tel/Fax. + 90 (362) 4452462. E-mail:

出版信息

Neurosciences (Riyadh). 2008 Jan;13(1):79-83.

Abstract

Axillary neuropathy due to entrapment of the nerve in the quadrilateral space is seen rarely. Here, we describe a 24-year-old patient diagnosed with isolated axillary neuropathy that mimicked quadrilateral space syndrome. Quadrilateral or quadrangular space syndrome (QSS), first described by Cahill and Palmer in 1983, was defined as the entrapment of the distal branch of the axillary nerve and the posterior humeral circumflex artery (PHCA) in the quadrangular shaped anatomic space. We tracked the follow up of the patient for one year both clinically and electrophysiologically. Our aim in reporting this case is to stress the point that cases of such a nature usually represent situations of diagnostic and treatment challenges, where multidisciplinary approaches are required.

摘要

因神经在四边孔受压导致的腋神经病变很少见。在此,我们描述一名24岁被诊断为孤立性腋神经病变且类似四边孔综合征的患者。四边孔综合征(QSS)于1983年由卡希尔和帕尔默首次描述,定义为腋神经远端分支和旋肱后动脉(PHCA)在四边形解剖空间受压。我们对该患者进行了为期一年的临床和电生理随访。我们报告此病例的目的是强调此类性质的病例通常代表诊断和治疗具有挑战性的情况,需要多学科方法。

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