Walter-Sack I, Zöllner N
Dtsch Med Wochenschr. 1980 Jan 4;105(1):19-21. doi: 10.1055/s-2008-1070596.
Neurological disturbances of the hands occurred in three female patients with diabetic polyneuropathy and were initially considered a manifestation of the polyneuropathy. Precise investigation showed that besides diabetic nerve lesions an additional mechanical damage of the median nerve in the carpal tunnel had occurred. Clinical and electromyographic follow-up controls showed stable conditions in one patient and progression of the carpal tunnel syndrome in two others. After bilateral neurolysis complete freedom from symptoms was achieved. The combined occurrence of diabetic polyneuropathy and distal nerve compression syndromes has not been described up to now.
三名患有糖尿病性多发性神经病的女性患者出现手部神经功能障碍,最初被认为是多发性神经病的一种表现。精确检查显示,除了糖尿病性神经病变外,腕管内的正中神经还受到了额外的机械损伤。临床和肌电图随访对照显示,一名患者病情稳定,另外两名患者出现腕管综合征进展。双侧神经松解术后症状完全消失。糖尿病性多发性神经病与远端神经压迫综合征的合并发生至今尚未见报道。