Carrillo-Ruiz José D, Cortés-Contreras Ana P, Salazar Armando Armas, Cid-Rodriguez Fátima X, González-Morales Hannia F, García-Jerónimo Ana I, Navarro-Olvera José L, García-Muñoz Luis, Salazar-Pigeon Alejandro
Unit of Stereotactic and Functional Neurosurgery, General Hospital of Mexico, Mexico City 06720, Mexico.
Neuroscience Coordination, Psychology Faculty, Anahuac University Mexico, Mexico City 52786, Mexico.
Exp Ther Med. 2024 Aug 14;28(4):401. doi: 10.3892/etm.2024.12690. eCollection 2024 Oct.
Carpal tunnel syndrome (CTS) is the most frequent entrapment neuropathy. Patients commonly experience neuropathic pain, leading them to seek medical advice. However, other symptoms experienced in patients with CTS, such as paresthesia, dysesthesia and allodynia, classed as positive sensory symptoms (PSS), are often under-reported. In the present study, patients with surgically-managed CTS were observed pre- and post-surgery to evaluate PSS, using the symptoms scale component of the Boston Carpal Tunnel Questionnaire (BCTQ) and the Sensory Frequency of Symptoms Scale. In total, 19 patients were included in the present study, with 79% female patients, and a mean age of 54±10.59 years. In addition, the mean follow-up was 63±29.91 months. The results of the present study revealed a pre-surgery BCTQ score of 3.52±0.63 and a post-surgery BCTQ score of 1.58±0.61. Notably, improvements in pain were observed, at 7.7±2.26 pre-surgery compared with 1.65±2.88 post-surgery. Compared with pre-surgery, post-surgery paresthesia scores were reduced from 2.94±0.82 to 0.47±0.45, dysesthesia scores were reduced from 2.52±0.84 to 0.47±0.39 and allodynia scores were reduced from 0.63±0.75 to 0.26±0.47. In conclusion, the results of the present study demonstrated that median nerve decompression ameliorated CTS symptoms, such as paresthesia and dysesthesia. However, further investigations are required to verify the benefits of surgery in relieving allodynia.
腕管综合征（CTS）是最常见的卡压性神经病。患者通常会经历神经性疼痛，从而促使他们寻求医疗建议。然而，CTS患者所经历的其他症状，如感觉异常、感觉迟钝和痛觉过敏，被归类为阳性感觉症状（PSS），却常常未得到充分报告。在本研究中，对接受手术治疗的CTS患者在术前和术后进行观察，使用波士顿腕管问卷（BCTQ）的症状量表部分和症状感觉频率量表来评估PSS。本研究共纳入19例患者，其中79%为女性患者，平均年龄为54±10.59岁。此外，平均随访时间为63±29.91个月。本研究结果显示，术前BCTQ评分为3.52±0.63，术后BCTQ评分为1.58±0.61。值得注意的是，疼痛有所改善，术前为7.7±2.26，术后为1.65±2.88。与术前相比，术后感觉异常评分从2.94±0.82降至0.47±0.45，感觉迟钝评分从2.52±0.84降至0.47±0.39，痛觉过敏评分从0.63±0.75降至0.26±0.47。总之，本研究结果表明正中神经减压改善了CTS症状，如感觉异常和感觉迟钝。然而，需要进一步研究来证实手术在缓解痛觉过敏方面的益处。
