Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL, USA; Marcus Neuroscience Institute, Boca Raton Regional Hospital, 800 Meadow Road, Boca Raton, FL 33486, USA.
Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL, USA; Marcus Neuroscience Institute, Boca Raton Regional Hospital, 800 Meadow Road, Boca Raton, FL 33486, USA.
Clin Geriatr Med. 2021 May;37(2):241-252. doi: 10.1016/j.cger.2021.01.011. Epub 2021 Mar 23.
Compression neuropathies, also known as entrapment neuropathies, are common neurologic conditions seen in medicine. These often are due to mechanical injury, either compression or stretch of the affected nerve, and initially result in focal demyelinating changes. If left untreated, secondary axonal injury and lasting disability can result. Patients typically present with pain, sensory changes, and potentially weakness in the distribution of the affected nerve; therefore, a basic knowledge of neuromuscular anatomy is necessary to identify these conditions. Initial treatment of mild to moderate cases often is conservative. In severe cases or those refractory to conservative therapy, surgery should be considered.
压迫性神经病，也称为嵌压性神经病，是一种常见的神经系统疾病。这些疾病通常是由于受影响的神经受到机械性损伤，无论是压迫还是拉伸，最初会导致局灶性脱髓鞘改变。如果不治疗，可能会导致继发性轴索损伤和持续的残疾。患者通常表现为受累神经分布区的疼痛、感觉改变，甚至可能出现无力；因此，需要对神经肌肉解剖学有基本的了解，才能识别这些病症。轻度至中度病例的初始治疗通常是保守的。在严重病例或对保守治疗无反应的病例中，应考虑手术治疗。
