Diemath H E, Strohecker J, Kollmann H
Aktuelle Gerontol. 1983 Jan;13(1):1-4.
Although the symptoms are very characteristical (in our patients 91,5% pain, 69,2% disturbed sensibility and 29,2% weakness) and the neurological diagnosis is typical (82,9% disturbed sensibility, 30,6% weakness, 57,1% atrophy of the thenar muscle) faults in diagnosis are possible. Particularly in old age it is mistaken for vertebral or vascular diseases. If conservative treatment is ineffective or the compression of the nerve is enlarging fast, surgical treatment will be indicated. In this case you can get freedom of pain in 66,6% in applying the right method of operation (5 different methods in micro-neurosurgery are available). Since May 1981 we use laser-surgery with great success. We checked (in average 13 months after the operation) 111 of 133 patients (33 male, 100 female, age of 16-84 most of them in the 6. decade) and got those results: 58,7% very good, 14,8% good, 15,7% satisfying and 5,8% unchanged.
尽管症状非常典型（在我们的患者中，91.5%有疼痛，69.2%感觉障碍，29.2%肌无力），神经学诊断也很典型（82.9%感觉障碍，30.6%肌无力，57.1%大鱼际肌萎缩），但仍有可能出现诊断错误。特别是在老年患者中，该病易被误诊为脊椎或血管疾病。如果保守治疗无效或神经受压迅速加重，则需进行手术治疗。在这种情况下，采用正确的手术方法（显微神经外科有5种不同的手术方法），66.6%的患者可缓解疼痛。自1981年5月以来，我们成功地开展了激光手术。我们对133例患者中的111例（33例男性，100例女性，年龄16 - 84岁，大多数在60多岁）进行了检查（平均在术后13个月），结果如下：58.7%效果非常好，14.8%效果良好，15.7%效果满意，5.8%无变化。
