• Title/Summary/Keyword: nerve entrapment

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A Case Report of the Piriformis Syndrome Treated by Caudal Steroid and Local Anesthetic (이상근 증후군 치험 1례)

  • Jeong, Chang-Young;Yeon, Myung-Ha;Im, Woong-Mo;Kim, Byu-Rha
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.149-151
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    • 1995
  • Piriformis syndrome is a syndrome of low back and leg radiating pain thought to be due to a chronic contracture of the piriformis muscle that causes irritation of the sciatic nerve. The piriformis muscle is a flat pyramidal muscle, an external rotator and abductor of the hip, originating from the front of the sacrum and inner aspect of the sacroiliac joint, then passes laterally out of the sciatic notch to attach posteriorly to the greater trochanter of the femur, the sciatic nerve passes between the two bellies of the muscle. Mechanical irritation of the sciatic nerve by an inflammatory reaction of the piriformis muscle and its fascia at this pelvic level causes pain to radiate in the dermatomal regions of the nerve roots similar to that disk entrapment. diagnosis of piriformis syndrome is made primary on the basis of history and clinical examination. The incidence is considerably higher in women, with the reported ratio of women to men of 6:1. These patients frequently present with associated symptoms of pelvic pain and/or dyspareunia. Symptoms are usually unilateral but occasionally be bilateral. We had a 42 year-old woman patient with low back and left leg radiating pain and dyspareunia treated by caudal steroid and local anesthetic.

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Isolated Paralysis of Inferior Branch of the Suprascapular Nerve due to the Ganglion - Report of One Case - (결절종에 의한 견갑상 신경 하방 분지의 단독마비 - 1례 보고 -)

  • Park, Tae-Soo;Kim, Tae-Seung;Kim, Jong-Heon;Kang, Suk-Keun
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.2
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    • pp.39-42
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    • 2002
  • We present a case of the patient with early detection of entrapment of inferior branch of the suprascapular nerve caused by multiple ganglion cysts at the spinoglenoid notch of the scapula, recovering from hypotrophy of the infraspinatus muscle and treating successfully after surgical removal of the cysts, and decompression of the nerve.

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Tarsal Tunnel Syndrome associated with Os Sustentaculi (A Case Report) (지주골에 의한 족근관 증후군 (1예 보고))

  • Park, Ju Yong;Kim, Bom Soo
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.1
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    • pp.74-77
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    • 2013
  • Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve or one of its branches within the tarsal tunnel, and is often caused by ganglia, lipoma, accessory muscles, varicosities, neural tumours, trauma and systemic diseases. We have successfully treated a patient with tarsal tunnel syndrome which was associated with os sustentaculi.

Usefulness of Ultrasound for Detecting Suspected Peripheral Nerve Lesions in Diagnosis of Peripheral Neuropathy : Case Report and Brief Review of the Literature

  • Jung, Jae-Hyun;Kim, Kwang-Hai;Choi, Soon-Kyoo;Shim, Jae-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.53 no.2
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    • pp.132-135
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    • 2013
  • Ultrasound scanning of a peripheral nerve along its expected course is a simple and useful method for determining the cause of peripheral neuropathy. We present 3 cases of peripheral neuropathy in which the pathology was detected by simple ultrasound scanning of the affected nerve. There were 2 cases of entrapment neuropathy due to mucoid cyst and 1 case of nerve sheath tumor. All lesions were visualized by simple ultrasound scanning of the involved peripheral nerve. Our results suggest that if a lesion affecting the peripheral nerve is suspected after history and physical examination or electrophysiologic studies, ultrasound scanning of the peripheral nerve of interest throughout its course is very helpful for identifying the causative lesion.

Carpal Tunnel Syndrome with Recurrent Motor Branch Entrapment: A Case Report (수근관 증후군에 동반된 운동 반회 신경 가지의 포착: 증례보고)

  • Kwon, Young Woo;Choi, In Cheul;Kwon, Hee-Kyu;Park, Jong Woong
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.267-270
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    • 2018
  • Recurrent motor branch entrapment syndrome is a compressive mononeuropathy of recurrent motor branch of median nerve. It is a rare condition as a cause of thenar muscle wasting and may have different pathogenesis. If such an anatomical variation is the cause, there is a possibility that thenar muscle atrophy remains if only the transcarpal ligament release is performed. We report a 25-year-old male patient with carpal tunnel syndrome with thenar muscle wasting 1 month ago.

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
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    • v.55 no.3
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    • pp.148-151
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    • 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.

Posterior Interosseous Nerve(PIN) Syndrome Caused by Anomalous Vascular Leash

  • Cho, Tae-Koo;Kim, Jae-Min;Bak, Koang-Hum;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.37 no.4
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    • pp.293-295
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    • 2005
  • Posterior interosseous nerve(PIN) syndrome is an entrapment of the deep branch of the radial nerve just distal to the elbow joint. It is caused by acute trauma or masses compressing the nerve. We report an unusual case of PIN syndrome with wrist drop caused by compression of the nerve by anomalous vascular leash. The patient has recovered with the surgical decompression of the offending vessels and arcade of Frohse.