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前臂后皮神经病变。病例报告。

Posterior antebrachial cutaneous neuropathy. Case report.

作者信息

Chang C W, Oh S J

机构信息

Department of Physical Medicine and Rehabilitation, National Taiwan University, Taipei, R.O.C.

出版信息

Electromyogr Clin Neurophysiol. 1990 Jan;30(1):3-5.

PMID:2154368
Abstract

Posterior antebrachial cutaneous (PABC) neuropathy is rare. Two original cases are reported here. In case 1, the neuropathy is probably due to a traction injury in a reduction operation for humeral fracture. In case 2, it is injured associately with an operation in taking a myocutaneous flap. On examination, both cases showed a decreased sensation to pin-prick over the PABC nerve territories and a positive Tinel's sign near the injured sites. Sensory nerve conduction study of the PABC nerves revealed a low amplitude of the compound nerve action potential (CNAP) and a slow sensory nerve conduction velocity (SNCV) in case 1, and absent CNAP in case 2. Our study showed the sensory nerve conduction test is useful in confirming PABC neuropathy.

摘要

前臂后皮神经(PABC)神经病较为罕见。本文报告了两例原始病例。病例1中,神经病可能是由于肱骨骨折复位手术中的牵拉伤所致。病例2中,它与取肌皮瓣手术相关联而受损。检查时,两例均显示PABC神经支配区域针刺觉减退,且在损伤部位附近Tinel征阳性。对PABC神经的感觉神经传导研究显示,病例1中复合神经动作电位(CNAP)波幅降低,感觉神经传导速度(SNCV)减慢,病例2中CNAP消失。我们的研究表明感觉神经传导测试有助于确诊PABC神经病。

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