Martinelli P, Baruzzi A, Montagna P, Ravasio A, Poppi M
Eur Neurol. 1981;20(6):478-80. doi: 10.1159/000115281.
A case of a carpal tunnel syndrome in a patient with chronic renal insufficiency undergoing hemodialysis by means of a Cimino-Brescia arteriovenous fistula is reported. Surgical decompression of the median nerve at the wrist was followed by the immediate and complete relief of the patient's symptoms. Ischemia related to a vascular 'steal' phenomenon or increased venous pressure have been proposed as primary alterations which can cause a damage of the median nerve at the wrist. In our case, we found symptoms relating to both of these pathogenetic hypotheses.
报告了一例慢性肾功能不全患者通过Cimino-Brescia动静脉内瘘进行血液透析时发生腕管综合征的病例。对腕部正中神经进行手术减压后，患者症状立即完全缓解。与血管“窃血”现象相关的缺血或静脉压升高被认为是可能导致腕部正中神经损伤的主要改变。在我们的病例中，我们发现了与这两种发病机制假说相关的症状。
