Ozdemir Ozgur, Calisaneller Tarkan, Gulsen Salih, Caner Hakan
Baskent University, Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey.
Turk Neurosurg. 2011;21(3):435-7. doi: 10.5137/1019-5149.JTN.2959-10.1.
Guyon's canal syndrome is a compression neuropathy of the ulnar nerve entrapment at the wrist. Compression of the ulnar nerve at the wrist by a ganglion, lipomas, diseases of the ulnar artery, fractures of the hamate and trauma are common etiologcal factors. Unlike Guyon's canal syndrome, carpal tunnel syndrome (CTS) is the most common nerve entrapment of the upper extremity. Although, open (OCTR) or endoscopic carpal tunnel release (ECTR) is highly effective in relieving pain, failure with carpal tunnel release is seldom seen. In this paper, we presented a patient with ulnar nerve entrapment associated with recurrent CTS and discussed the possible pathomechanism with a review of current literature.
盖氏管综合征是一种腕部尺神经卡压性神经病。腱鞘囊肿、脂肪瘤、尺动脉疾病、钩骨骨折及创伤等导致的腕部尺神经受压是常见病因。与盖氏管综合征不同，腕管综合征（CTS）是上肢最常见的神经卡压。尽管开放性（OCTR）或内镜下腕管松解术（ECTR）在缓解疼痛方面非常有效，但腕管松解术失败的情况很少见。在本文中，我们报告了1例伴有复发性CTS的尺神经卡压患者，并结合当前文献回顾讨论了可能的发病机制。
