超活化端端骨间前向神经至尺神经运动支转位治疗平山病：病例报告。
Supercharged End-to-Side Anterior Interosseous to Ulnar Motor Nerve Transfer for Hirayama Disease: A Case Report.
机构信息
Santa Casa de Misericórdia da Bahia, Salvador, Bahia, Brazil.
University of São Paulo, Brazil.
出版信息
Hand (N Y). 2022 Jul;17(4):NP12-NP16. doi: 10.1177/15589447211063556. Epub 2021 Dec 28.
Abstract
Hirayama disease is a rare condition of cervical myelopathy. Its early identification and correction can optimize functional outcomes. However, late presentation and some more severe cases may be associated with loss of hand function. Among the cases described, there are no reports of nerve transfers for this condition. We presented the first case report of a Hirayama disease of isolated ulnar nerve impairment managed with nerve transfer. Electroneuromyography showed isolated preganglionic involvement of C7, C8, and T1, with no sensory changes. The patient underwent nerve transfer with anterior interosseous nerve to ulnar nerve supercharge end-to-side, recovering hand function in 7 months.
摘要
平山病是一种罕见的颈髓病变。早期识别和矫正可以优化功能预后。然而，晚期表现和一些更严重的病例可能与手部功能丧失有关。在描述的病例中，没有关于这种情况进行神经转移的报告。我们报告了首例孤立性尺神经损伤的平山病经神经转移治疗的病例。肌电图显示 C7、C8 和 T1 的节前神经受累，无感觉变化。患者接受了神经转移，即用正中神经的前骨间神经到尺神经的侧侧吻合，7 个月后手部功能恢复。
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本文引用的文献
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Hirayama disease.平山病
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Hirayama disease: Is surgery an option?平山病：手术是一种选择吗？
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Hirayama disease: a frequently undiagnosed condition with simple inexpensive treatment.平山病：一种常未被诊断出的疾病，治疗简单且费用低廉。
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