Tchiloemba Bianief, Chang Min Cheol, Ferembach Benjamin, Hagert Elisabet, Brutus Jean Paul
Exception MD Clinic, Montreal, Canada.
Department of Plastic Surgery, University of Calgary, Calgary, Canada.
J Hand Surg Glob Online. 2023 Aug 25;5(6):841-842. doi: 10.1016/j.jhsg.2023.07.008. eCollection 2023 Nov.
Little is known about tremors caused by peripheral nerve entrapment. We report two cases of tremors caused by peripheral nerve compressions. Two patients presented with intentional tremors combined with peripheral nerve compression symptoms on their affected hand. Based on the clinical findings and evaluations, the first patient was diagnosed with double-crush compression of the ulnar nerve at the cubital tunnel and Guyon canal, and the second patient was diagnosed with lacertus syndrome. The first patient underwent surgical release of the cubital tunnel and Guyon canal in two stages. The second patient underwent release of the lacertus fibrosus. At the 1-month follow-up after surgery, the tremors had completely resolved, and neurological symptoms improved. Peripheral nerve entrapment should be considered a potential cause of tremors in patients with tremors combined with symptoms of peripheral neuropathy. Surgical release can be curative.
关于周围神经卡压引起的震颤，人们了解甚少。我们报告两例周围神经受压引起的震颤病例。两名患者均表现为患侧手部的意向性震颤并伴有周围神经受压症状。根据临床检查结果和评估，首例患者被诊断为尺神经在肘管和Guyon管处的双卡压，第二例患者被诊断为肱二头肌腱膜综合征。首例患者分两期接受了肘管和Guyon管的手术松解。第二例患者接受了肱二头肌腱膜松解术。术后1个月随访时，震颤完全消失，神经症状改善。对于合并周围神经病变症状的震颤患者，周围神经卡压应被视为震颤的潜在病因。手术松解可治愈该病。
