• 제목/요약/키워드: Radial nerve

검색결과 101건 처리시간 0.026초

요골신경마비(撓骨神經痲痺) 치험(治驗) 1례(例) (A Case of Radial Nerve Palsy)

  • 이세연;이경민;정태영;서정철;한상원
    • Journal of Acupuncture Research
    • /
    • 제20권1호
    • /
    • pp.236-243
    • /
    • 2003
  • Objective : The purpose of this study is to report the patient with radial nerve palsy, who improved by oriental medical treatment. Methods : The patient was managed by bee venom aqua-acupuncture, sclp acupuncture and herbal medicine. We took picture of the patients's wrist and checked the power of muscles. Results : After 4 week treatment, the movement and power of wrist was restored of nearly normal range. also the numbness of hand was removed. Combined oriental medical treatment can treat radial nerve palsy earlier than other methods. Conclusions : The results suggest that combination of bee venom aqua-acupuncture, scalp acupuncture and herbal medicine is good method for treatment of radial nerve palsy. But further studies are required to concretely prove the effectiveness of this methods for treating radial nerve palsy.

  • PDF

해부학적 변이로 인한 표재성 요골 신경병증: 증례 보고 (Superficial Radial Neuropathy due to Anatomic Variation: A Case Report)

  • 최창원;추혜정
    • 대한영상의학회지
    • /
    • 제85권2호
    • /
    • pp.468-473
    • /
    • 2024
  • 표재성 요골 신경 병증은 일반적으로 원위 팔뚝의 신경 포획으로 인해 발생하는 순수 감각 신경 병증이다. 저자들은 원위부 팔뚝의 상완요골근 힘줄을 나선형으로 둘러싸고 있는 표재성 요골 신경의 비정상적인 주행으로 인한 표재성 요골 신경 병증 증례를 보고하고자 한다. 저자들이 검토한바로는 이것은 신경 병증을 유발하는 표재성 요골 신경의 최초의 초음파 영상 증례 보고이다.

Clinical Features of Wrist Drop Caused by Compressive Radial Neuropathy and Its Anatomical Considerations

  • Han, Bo Ram;Cho, Yong Jun;Yang, Jin Seo;Kang, Suk Hyung;Choi, Hyuk Jai
    • Journal of Korean Neurosurgical Society
    • /
    • 제55권3호
    • /
    • pp.148-151
    • /
    • 2014
  • Objective : Posture-induced radial neuropathy, known as Saturday night palsy, occurs because of compression of the radial nerve. The clinical symptoms of radial neuropathy are similar to stroke or a herniated cervical disk, which makes it difficult to diagnose and sometimes leads to inappropriate evaluations. The purpose of our study was to establish the clinical characteristics and diagnostic assessment of compressive radial neuropathy. Methods : Retrospectively, we reviewed neurophysiologic studies on 25 patients diagnosed with radial nerve palsy, who experienced wrist drop after maintaining a certain posture for an extended period. The neurologic presentations, clinical prognosis, and electrophysiology of the patients were obtained from medical records. Results : Subjects were 19 males and 6 females. The median age at diagnosis was 46 years. The right arm was affected in 13 patients and the left arm in 12 patients. The condition was induced by sleeping with the arms hanging over the armrest of a chair because of drunkenness, sleeping while bending the arm under the pillow, during drinking, and unknown. The most common clinical presentation was a wrist drop and paresthesia on the dorsum of the 1st to 3rd fingers. Improvement began after a mean of 2.4 weeks. Electrophysiologic evaluation was performed after 2 weeks that revealed delayed nerve conduction velocity in all patients. Conclusion : Wrist drop is an entrapment syndrome that has a good prognosis within several weeks. Awareness of its clinical characteristics and diagnostic assessment methods may help clinicians make diagnosis of radial neuropathy and exclude irrelevant evaluations.

환측 동기침법을 이용한 경추 추간판 탈출증 환자의 급성 압박성 요골신경마비 치험 1례 (A clinical study of the affected part acupuncture moving treatment on the acute radial nerve palsy patient who has Cervical Herniation)

  • 정훈;조남훈;박지용;박현민;배상은;홍남중
    • 대한한의정보학회지
    • /
    • 제17권2호
    • /
    • pp.73-81
    • /
    • 2011
  • Objectives : The purpose of this study is to evaluate the affected part acupuncture moving treatment for acute radial nerve palsy patient who has Cervical Herniation. Methods : We examined 1 patient with Radial nerve palsy who admitted Jaseng Hospital of Oriental Medicine. The patient was treated by the affected part acupuncture moving treatment including herbal mixture. Results : In this study, in the end of affected part acupuncture moving treatment, patient's condition has improved. Muscle strength was also increased. Conclusions : The affected part acupuncture moving treatment for acute radial nerve palsy was effective in restore of functional activities, but this treatment needs more study.

  • PDF

요골신경마비(撓骨神經痲痺) 치험(治驗) 1례(例) (A Case of Radial Nerve Palsy)

  • 이광호;김태우;장보형;권오섭;류충렬;조명래;문경숙
    • 대한약침학회지
    • /
    • 제7권3호
    • /
    • pp.115-122
    • /
    • 2004
  • Objective : The purpose of this study is to report the patient with radial nerve palsy, who improved by oriental medical treatment. Methods : The patient was managed by Cathami Flos aqua-acupuncture, Dong-Qi acupuncture treatment, Comman acupuncture treatment and Herbal medicine. We took pictures of patient's wrist and checked the power of muscles. And we checked the numbness of thumb that was patient's subjective sensation. Results : After 2 weeks-treatment, the movement and power of wrist was restored to nearly normal range, also the numbness of thumb was removed. Combined oriental medical treatment can treat radial nerve palsy earlier than the other methods. Conclusions : The results suggest that combination of Cathami Flos aqua-acupuncture, Dong-Qi acupuncture treatment, Comman acupuncture treatment and Herbal medicine is good method for treatments of radial nerve palsy. But further studies are required to concretely prove the effectiveness of this method for treating radial nerve palsy.

Brief, Intense TENS 자극이 신경전도, 통증역치의 변화에 미치는 효과 (The effects of Breif, Intense Transecutaneous Electrical Nerve Stimulation on Nerve conduction, Pain Threshold in Healthy subjects)

  • 김태열;황태연;허춘복
    • The Journal of Korean Physical Therapy
    • /
    • 제6권1호
    • /
    • pp.171-183
    • /
    • 1994
  • Purphose. This present study examines the effect of brief, intense transcutaneous electrical nerve stimulation(BTENS) on sensory nerve conduction, electrical pain threshold, and two-point discrimination measured at the superficial radial nevre distribution in 20 healthy subjects. Subjects. Twenty volunteercs, (10 females and 10 males(age range : 20-38 years : $mean{\pm}SD\;:\;27.00{\pm}5.12$), only subjects without prior traumatological and pathological were eligible to participated in this study. Methods. Nerve conduction were determined for the right superficial radial nerve. Electrical pain threshold were determined for the right wrist ipsilateral to the site of BTENS. Small disc electrodes were attached to the surface of the skin stradding the end of the radius. Square wave electrical pulses were delivered from an isolated stimulator through a constant current device at a frequency of 2 Hz(5 ms pulse width). Two-point discrimination, measured on the sensory distribution of superficial radial nerve. BTENS was delivered using a Max-SD( Medical design co.) portable battery powered stimulator. A cicular Ag/AgCl electrode in contact with hypertonic saline gel was attached to the lateral(radial side) surface of the forearm. Results. No significant effects were observed between stimulation methods in the prestimulation cycle(multi-way ANOVA repeated measures : distal latency ; F1.14=0.332. amplitude ; F 0.80=0.445, pain threshold ; F0.06=0.940.2 point discrimination ; F1.50=0.236). Highly significant effects were observed time with the pretreatment and 6 posttreatment cycles(p<0.01). Mighty significants differences in nerve conduction and pain threshold were found using un multi-way ANOVA repeated measures among stimulation methods for each cycles(p<0.01). Conclusion and Discussion The authors concludes that both nerve conduction and pain threshold changes are associated with therapy (stimulation) level of BTENS.

  • PDF

침(鍼)과 Neuromuscular Electrical Simulation으로 치료한 요골신경마비에 대한 증례보고 (Case Report of Radial Nerve palsy patients treated with acupuncture and Neuromuscular Electrical Stimulation)

  • 황욱;김정신;배기태;남상수;김용석
    • Journal of Acupuncture Research
    • /
    • 제21권6호
    • /
    • pp.249-257
    • /
    • 2004
  • Objective : Radial nerve palsy is characterized by palsy or paralysis of extensors of the wrist and digits, as well as the forearm supinators. Very proximal lesions also may affect the triceps. Numbness occurs on the dorsoradial aspect of the hand and the dorsal aspect of the radial 3 and 1/2 digits. We observed 7 patients with radial nerve palsy, the results are as follows. Methods & Results : All patients were treated by the same method and treatment was performed by acupuncture and Neuromuscular Electrical Stimulation. the electrode were placed unilaterally on the motor points of forearm. As the result, symptoms are improved remarkably. Conclusions : Patients were treated for 5.4 weeks, 14.7 times(average). The grade was that 6 cases were good and 1 case was excellent.

  • PDF

동측(ipsilateral) 및 대측(contralateral) 말초신경자극이 굴근반사에 미치는 영향의 비교연구 (Effects of Ipsilateral and Contalateral Stimulation of Peripheral Nerve on Flexion Reflex in Cats)

  • 남택상;백광세;강두희
    • The Korean Journal of Physiology
    • /
    • 제17권2호
    • /
    • pp.169-176
    • /
    • 1983
  • It is well known that the acupuncture has been used effectively for the relief of certain types of pain. Although the precise mechanism of action of acupuncture analgesia is unknown, it is generally accepted that their analgesic properties are related to the activation of endogenous opiate system in central nervous system. And it is suggested that pain-relieving properties of acupunture may be related to a stimulation of peripheral nerve underlying the acupuncture point on the skin. However, the efficacy of acupuncture has no relationship between the site of pain and the acupuncture point. Consequently, the present study was undertaken to investigate electroacupuncture analgesia in relation to the site of peripheral nerve stimulation. Cats were decerebrated ischemically and the flexion reflex as an index of pain was elicited by stimulating the sural nerve (20V, 0.5 msec duration) and recored as a compound action potential from the nerve innervated to the posterior biceps femoris muscle in the ipsilateral hindlimb. Bilateral common peroneal nerve and contralateral superficial radial nerve were selected as the site of peripheral nerve stimulation. For the stimulation of peripheral nerve, a stimulus of 20 V intensity, 2 msec-duration and 2 Hz-frequency was applied for 60 min respectively. The results obtained are summarized as follows: 1) Both stimulation of contralateral common peronal nerve and contralateral superficial radial nerve did not change the flexion reflex and there were no significant differences between them. 2) Stimulation of ipsilateral common peroneal nerve markedly depress the flexion reflex, the effect being reversed by naloxone application. These results suggest that stimulation of ipsilateral common peroneal nerve has the analgesic effect but both stimulation of contralteral common peroneal nerve and contralateral superficial radial nerve to the pain site where flexion reflex was elicited have no analgesic effect.

  • PDF

의인성 신경손상을 모방한 손뒤침근내 결정종으로 인한 뒤뼈사이신경병증 증례 (A Case of Posterior Interosseus Neuroapathy due to Intrasupinator Ganglion Mimicking Iatrogenic Injection Nerve Injury)

  • 박홍범;김기훈;박병규;김동휘
    • 대한근전도전기진단의학회지
    • /
    • 제20권2호
    • /
    • pp.153-158
    • /
    • 2018
  • Posterior interosseus (PI) nerve compression is a rare form of compressive neuropathy. It can cause pain along the radial nerve course and weakness of radial nerve innervating muscles without sensory symptoms. A 65-year-old man visited our institution complaining weakness of finger extension and thumb abduction after 2 times of injections at the right elbow in local clinic. The patient's clinical history and physical examination implied an iatrogenic radial nerve injury caused by the injection. The electrophysiologic study revealed of posterior interosseus neuropathy (PIN) with incomplete conduction block. However, the ultrasound study showed that the PI nerve was compressed by an anechoic cyst. The magnetic resonance imaging also confirmed of a ganglion cyst, not a hematoma. After repeated aspirations and a steroid injection, the electrophysiologic study showed recovery of motor weakness. Despite of the clue which implying an iatrogenic injury, clinician should consider other possibilities such as ganglion cysts and ultrasound guided aspiration and steroid injection could be an effective option for conservative management.

봉약침요법(蜂藥鍼療法)을 이용한 요골신경마비(橈骨神經麻痺) 치험(治驗) 3례(例) (Three Cases of Radial Nerve Palsy with Bee Venom Therapy)

  • 김일환;위통순;김효수
    • 대한약침학회지
    • /
    • 제7권2호
    • /
    • pp.75-81
    • /
    • 2004
  • Objective : The purpose of this study is to report the efficiency of Bee Venom Therapy by managering of radial nerve palsy patients. Method : Three patients were treatmented by Bee Venom therapy and acupucture therapy. And we took pictures of someone's wrist and checked the power of muscles by the improving phase. Results : Almost cases shows the improvement in the movement of wrist and the numbness of hand. By using acuputure and Bee Venom therapy, the symptoms of radial nerv palsy was more fastly recovered.