Halperin J J, Volkman D J, Luft B J, Dattwyler R J
Department of Neurology, State University of New York, Stony Brook 11794.
Muscle Nerve. 1989 May;12(5):397-400. doi: 10.1002/mus.880120510.
Neurophysiologic evidence of median nerve entrapment in the carpal tunnel was present in 25% of patients with late Lyme borreliosis. Sixty-eight of 76 consecutive, prospectively studied patients with late Lyme underwent neurophysiologic testing. Nineteen reported intermittent hand paresthesias; 17 had neurophysiologically confirmed carpal tunnel syndrome. This was not consistently associated with clinically apparent wrist arthritis or with neurophysiologically evident peripheral neuropathy. We conclude that a significant proportion of patients with late Lyme borreliosis develop carpal tunnel syndrome.
在晚期莱姆病患者中，25%存在腕管综合征正中神经卡压的神经生理学证据。对76例连续前瞻性研究的晚期莱姆病患者进行了神经生理学测试。19例报告有间歇性手部感觉异常；17例经神经生理学证实患有腕管综合征。这与临床上明显的腕关节炎或神经生理学上明显的周围神经病变并不始终相关。我们得出结论，相当一部分晚期莱姆病患者会发生腕管综合征。
