• 제목/요약/키워드: Nerve entrapment

검색결과 116건 처리시간 0.018초

외족장신경 제1분지의 신경초종에 의해 발생된 족장터널증후군 (Tarsal Tunnel Syndrome secondary to the Neurilemoma of first branch of the Lateral Plantar Nerve)

  • 이경태;탁상보
    • 대한족부족관절학회지
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    • 제2권1호
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    • pp.52-55
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    • 1998
  • Tarsal tunnel syndrome is a complex of symptoms resulting from the compression of the posterior tibial nerve or its branches, Many disease have been previously reported in the literatures as etiological agents in tarsal tunnel syndrome. We reported a case of tarsal tunnel syndrome secondary to neurilemoma of the first branch of lateral plantar nerve. The symptoms were similar with the entrapment syndrome of the first branch of the lateral plantar nerve. Symptoms were completely relieved after operation.

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결절종에 의한 상견갑신경의 포착성 신경병증 (Entrapment Neuropathy of the Suprascapular Nerve by a Ganglion)

  • 하현욱;김우정;김두응
    • Annals of Clinical Neurophysiology
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    • 제3권2호
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    • pp.147-150
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    • 2001
  • Nerve compression of the suprascapular nerve by a suprascapular notch occasionally occurs, but compression by a ganglion is very rare. We had experienced a case of compression of the suprascapular nerve by ganglionic cyst at the suprascapular notch, which confirmed by electromyographic studies after the diagnosis was suspected. MRI scan showed multilobulated ganglionic cyst at the right suprascapular notch. The patient was treated by excision of the ganglion and had excellent result.

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The Cubital Tunnel Syndrome with Medial Ganglion Cyst

  • Yoon, Sang-Hoon;Hong, Youn-Ho;Chung, Young-Seob;Yang, Hee-Jin
    • Journal of Korean Neurosurgical Society
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    • 제42권2호
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    • pp.141-144
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    • 2007
  • The association of medial elbow ganglion cyst with cubital tunnel syndrome has been rarely reported. A 61-year-old man presented with progressive right hypothenar atrophy and paresthesia for 7 months. Ultrasonography and magnetic resonance imaging revealed ulnar nerve entrapment with a cystic ganglion in cubital tunnel. Decompression of ulnar nerve and excision of the ganglion were performed. Motor function of the ulnar nerve showed an improvement four months later after surgery. Because most ganglia are occult, imaging study is warranted especially in case with osteoarthritis. Excision of the ganglion performed concurrently with decompression of the ulnar nerve provide satisfactory results.

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

  • 최창원;추혜정
    • 대한영상의학회지
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    • 제85권2호
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    • pp.468-473
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    • 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.

이상근 증후군 치험 4예 (Four Cases of the Piriformis Syndrome Treated by Trigger Point Injection on the Piriformis Muscle)

  • 박장수;송찬우;김정원;신동엽;홍기혁
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.341-346
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    • 1995
  • Piriformis Syndrome is characterized by pain of the low back, groin, perineum, buttock, hip, posterior thigh, leg and foot. Symptoms are aggravated by sitting, prolonged combination of hip flexion, adduction, the medial rotation, or by activity. In addition, patient may complain of painful swelling of the limb and sexual dysfunction-dyspareunia in female, and impotence in male. It currently appears that three specific conditions may contribute to the piriformis syndrome: (a) myofascial pain; (b) nerve and vascular entrapment; (c) dysfunction of the sacroiliac joint. The important keys of diagnosis are history and physical examination. There is no known objective diagnostic method. We described the clinical features of four cases of piriformis syndrome and reviewed foreign literature.

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팔꿉굴증후군 환자에서 초음파를 이용한 척골신경의 박동성고 주파술의 경험 -증례보고- (Ultrasound-guided Pulsed Radiofrequency Lesioning of the Ulnar Nerve in a Patient with Cubital Tunnel Syndrome -A case report-)

  • 길보경;길호영
    • The Korean Journal of Pain
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    • 제21권3호
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    • pp.224-228
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    • 2008
  • Ulnar nerve compression in the cubital tunnel is a common entrapment syndrome of the upper limb. Pulsed radiofrequency lesioning (PRFL) has been reported as a treatment method for relieving neuropathic pain. Since the placement of the electrode in close proximity to a targeted nerve is very important for the success of PRFL, ultrasound seems to be well suited for this technique. A 36-year-old woman presented with complaints of numbness and pain on the medial aspect of the elbow and the pain radiated down to the $4^{th}$ and $5^{th}$ fingers for 10 years after she suffered an elbow contusion, we then scheduled this woman for the ultrasound guided PRFL of the ulanr nerve. The initial ultrasound examination demonstrated a swollen nerve, loss of the fascicular pattern and an increased cross sectional area of the ulnar nerve. After confirmation of the most swollen site of the nerve via ultrasound, two sessions of PRFL were performed. The postprocedural 10 cm visual analog scale score decreased from 8 to 1 after the two sessions of PRFL.

Ultrasound-guided Lateral Femoral Cutaneous Nerve Block in Meralgia Paresthetica

  • Kim, Jeong-Eun;Lee, Sang-Gon;Kim, Eun-Ju;Min, Byung-Woo;Ban, Jong-Suk;Lee, Ji-Hyang
    • The Korean Journal of Pain
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    • 제24권2호
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    • pp.115-118
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    • 2011
  • Meralgia paresthetica is a rarely encountered sensory mononeuropathy characterized by paresthesia, pain or sensory impairment along the distribution of the lateral femoral cutaneous nerve (LFCN) caused by entrapment or compression of the nerve as it crossed the anterior superior iliac spine and runs beneath the inguinal ligament. There is great variability regarding the area where the nerve pierces the inguinal ligament, which makes it difficult to perform blind anesthetic blocks. Ultrasound has developed into a powerful tool for the visualization of peripheral nerves including very small nerves such as accessory and sural nerves. The LFCN can be located successfully, and local anesthetic solution distribution around the nerve can be observed with ultrasound guidance. Our successfully performed ultrasound-guided blockade of the LFCN in meralgia paresthetica suggests that this technique is a safe way to increase the success rate.

수근관 증후군 환자 2례에 대한 증례보고 (The clinical study on 2 cases of patients of carpal tunnel syndrome)

  • 신동수;이현
    • 혜화의학회지
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    • 제15권1호
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    • pp.79-85
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    • 2006
  • Carpal tunnel syndrome is a common peripheral nerve entrapment syndrome that is characterized by pain, numbness, sensory disturbance along the distribution of the median nerve in hand. Diagnosis mainly depends upon careful examination and symptomatology. Treatments have included wrist immobilization, anti-inflammatory drug, local injection of steroid, nerve block and surgical decompression. This is a clinical report about 2 cases of carpal tunnel syndrome patients who undergo oriental medical treatment. Both of two cases, Symptoms were disappeared and physical examinations were improved. The results of this study demonstrate that oriental medicine treatment that including acupuncture and herbal medicine therapy can have noticeable effects in treating the carpal tunnel syndrome.

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수근관 증후군(Carpal tunnel syndrome)에 관한 고찰 - 동의보감(東醫寶鑑)을 중심으로 - (Study of Carpal tunnel syndrome)

  • 김용걸;오민석
    • 혜화의학회지
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    • 제17권1호
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    • pp.129-136
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    • 2008
  • This study was performed to investigate the cause, symptom, treatment of carpal tunnel syndrome through Western medicine and Dong-Eui-Bo-Kham(東醫寶鑑). Results & conclusions 1. Carpal tunnel syndrome is a common peripheral nerve entrapment syndrome that is characterixed by pain, numbness, sensory disturbance along the dsitribution of the meridian nerve in hand 2. Treatment of carpal tunnel syndrome have included wrist immobilization, anti-inflammatory drug, local injection of steroid, nerve block and surgical decompression. 3. Carpal tunnel syndrome seems to be similar with numbness(痺證). The causes were usually pathogenic Wind, Cold, Dampness. 4.Acupuncture, herbal medicine, herbal acupuncture were used for treatment of carpal tunnel syndrome. We considered that more study to find various and effective methods oriental medicine for carpal tunnel syndrome should be made.

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Fluoroscopy and Sonographic Guided Injection of Obliquus Capitis Inferior Muscle in an Intractable Occipital Neuralgia

  • Kim, Ok-Sun;Jeong, Seung-Min;Ro, Ji-Young;Kim, Duck-Kyoung;Koh, Young-Cho;Ko, Young-Sin;Lim, So-Dug;Shin, Hwa-Yong;Kim, Hae-Kyoung
    • The Korean Journal of Pain
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    • 제23권1호
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    • pp.82-87
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    • 2010
  • Occipital neuralgia is a form of headache that involves the posterior occiput in the greater or lesser occipital nerve distribution. Pain can be severe and persistent with conservative treatment. We present a case of intractable occipital neuralgia that conventional therapeutic modalities failed to ameliorate. We speculate that, in this case, the cause of headache could be the greater occipital nerve entrapment by the obliquus capitis inferior muscle. After steroid and local anesthetic injection into obliquus capitis inferior muscles under fluoroscopic and sonographic guidance, the visual analogue scale was decreased from 9-10/10 to 1-2/10 for 2-3 weeks. The patient eventually got both greater occipital neurectomy and partial resection of obliquus capitis inferior muscles due to the short term effect of the injection. The successful steroid and local anesthetic injection for this occipital neuralgia shows that the refractory headache was caused by entrapment of greater occipital nerves by obliquus capitis inferior muscles.