Chang C W, Oh S J
Department of Physical Medicine and Rehabilitation, National Taiwan University, Taipei, R.O.C.
Electromyogr Clin Neurophysiol. 1990 Jan;30(1):3-5.
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.
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。