Towfigh H, Schmidt G
Universitätsklinikum Essen, Medizinische Einrichtungen der Universität-Gesamthochschule-Essen.
Handchir Mikrochir Plast Chir. 1988 Jan;20(1):51-3.
A case of an aneurysmatic dilatation of the ulnar artery with compression of the ulnar nerve in Guyon's canal is described. The etiology, symptomatology, and therapy are illustrated. Acute or chronic trauma in the hypothenar eminence caused pain not only here but also in the ulnar side of the hand with paraesthesia in the ulnar region. It was due to compression of the ulnar nerve in the loge de Guyon by a largely dilated and thrombosed arterial aneurysm. The diagnosis was confirmed by angiogram of the arm and hand. Resection and reconstruction was advised and showed good results.
本文描述了一例尺动脉动脉瘤样扩张并伴有尺神经在Guyon管受压的病例。文中阐述了其病因、症状及治疗方法。小鱼际隆起处的急性或慢性创伤不仅导致此处疼痛，还引起手部尺侧疼痛及尺侧感觉异常。这是由于一个明显扩张且血栓形成的动脉性动脉瘤压迫了Guyon管内的尺神经。通过手臂和手部血管造影证实了诊断。建议进行切除和重建手术，术后效果良好。
