지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 52 - 56 (5page)
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초록· 키워드
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Thenar motor neuropathy is a rare, pure motor neuropathy of the median nerve with delayed motor latency in electrophysiological studies. We present an extremely rare case of idiopathic thenar motor neuropathy with complete median motor conduction block at the carpal tunnel level, which was confirmed by ultrasonographic and surgical findings. Right median nerve conduction studies demonstrated normal sensory responses and no motor response in the abductor pollicis brevis (APB). Needle electromyography of the right APB showed no recruitment of motor unit action potentials. Ultrasonographic examination demonstrated enlarged and swollen median nerve fascicles within the carpal tunnel. A carpal tunnel release operation was performed; the median nerve underneath the transverse carpal ligament was swollen and blanched due to decreased vascularity, suggesting the presence of compression. Pain in the thenar area improved 2 weeks after surgery. Herein, we emphasize the usefulness of ultrasonographic evaluations in determining the level of the nerve injury in cases with doubtful electrophysiological results.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Mondelli M / 2010 / Thenar Motor Neuropathy Electrophysiological Study of 28 Cases / J Clin Neurophysiol 27:344~349
Lilly CJ / 1985 / Severance of the thenar branch of the median nerve as a complication of carpal tunnel release / J Hand Surg Am 10:399~402
Rizzello G / 2009 / Compression Neuropathy of the Motor Fibers of the Median Nerve at Wrist Level / J Chinese Med Assoc 72:268~270
Repaci M / 1999 / Exclusive electrophysiological motor involvement in carpal tunnel syndrome / Clin Neurophysiol 110:1471~1474
Ahn DS / 2000 / A prospective study of the anatomic variations of the median nerve in the carpal tunnel in Asians / Ann Plast Surg 44:282~287
Lilly CJ / 1985 / Severance of the thenar branch of the median nerve as a complication of carpal tunnel release / J Hand Surg Am 10:399~402
Rizzello G / 2009 / Compression Neuropathy of the Motor Fibers of the Median Nerve at Wrist Level / J Chinese Med Assoc 72:268~270
Repaci M / 1999 / Exclusive electrophysiological motor involvement in carpal tunnel syndrome / Clin Neurophysiol 110:1471~1474
Ahn DS / 2000 / A prospective study of the anatomic variations of the median nerve in the carpal tunnel in Asians / Ann Plast Surg 44:282~287
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