Tropet Y, Brax P, Monnier G, Vichard P
Ann Chir Main. 1986;5(4):328-31. doi: 10.1016/s0753-9053(86)80011-4.
The authors report an uncommon' case of carpal tunnel syndrome in a ten year old girl. Symptoms are typical with noctural paresthesias. The nerve conductor studies show a important compression with thenar atrophy. In consideration of the importance of nocturnal pain and amyotrophy an operation was decided. At operation, the median nerve is found constricted under tickened transverse carpal ligament. At the wrist, the volume of nerve is normal, there are not anomalous muscles or inflammatory tenosynovitis. In fact, the appearance of median nerve is identical to the cases of carpal tunnel syndrome in adult. After surgery symptomsare abolished. The mother of the young girl, 37 year old, also present a bilateral carpal tunnel syndrome with onset at the age of 10 years. There is a important thenar atrophy. At operation, the nerve is very constricted with a tickened transverse carpal ligament; no other anomaly is noted. A study of literature complete these observations.
作者报告了一例罕见的10岁女孩腕管综合征病例。症状典型，有夜间感觉异常。神经传导研究显示有明显压迫并伴有大鱼际萎缩。鉴于夜间疼痛和肌萎缩的严重性，决定进行手术。手术中发现正中神经在增厚的腕横韧带下受压。在腕部，神经体积正常，没有异常肌肉或炎性腱鞘炎。事实上，正中神经的外观与成人腕管综合征病例相同。手术后症状消失。小女孩37岁的母亲也患有双侧腕管综合征，发病年龄为10岁。有明显的大鱼际萎缩。手术时，神经受到严重压迫，腕横韧带增厚；未发现其他异常。对文献的研究完善了这些观察结果。
