• 제목/요약/키워드: Radial nerve palsy

검색결과 30건 처리시간 0.022초

경추추간판탈출증을 동반한 후골간신경마비 환자에 대한 임상보고 (Clinical study on one case of patient of posterior interosseous nerve palsy accompanying HNP of C5-6,6-7)

  • 구본길;오민석
    • 혜화의학회지
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    • 제13권1호
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    • pp.303-309
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    • 2004
  • After treating a patient suffering from metacarpophalangeal joint extension disturbance which is caused by posterior interosseous nerve palsy, some results are gained as follows. The symptom of posterior interosseous nerve palsy is simillar to the it of radial nerve palsy. But posterior interosseous nerve palsy isn't accompany with wrist drop. posterior interosseous nerve palsy is accompany with metacarpophalangeal joint extension disturbance. This symptom is caused by posterior interosseous nerve palsy. Posterior interosseous nerve palsy is correspond to MAMOKBULIN(麻木不仁), SUTONG(手痛), SUGI(手氣) in oriental medicine. The cause of this case on oriental medicine is Deficiency of qi and blood. Treatment which based on cause of oriental medicine-herb medication, acupuncture treatment- have a good effect to patient.

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오공(蜈蚣) 약침(藥鍼)을 병행한 요골신경마비 치험 1례(例) (A Case of Radial Nerve Palsy Treated with Additional Scolopendrae Corpus Herbal-Acupuncture)

  • 이윤경;임성철;정태영;한상원;서정철
    • 대한약침학회지
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    • 제8권2호
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    • pp.91-95
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    • 2005
  • Objective : The purpose of this study is to report the patient with radial nerve palsy, who improved by Scolopendrae Corpus Herbal-Acupuncture and other Oriental medical treatments. Methods : The patient was managed by Scolopendrae Corpus Herbal-Acupuncture, body acupuncture, physical theraphy and herbal medicine. We took picture of the patient's wrist and checked the power of muscles. Result : After 4 week treatment, the movement and power of wrist was restored to nearly normal range. Conclusions : The results suggest that combination of Scolopendrae Corpus Herbal-Acupuncture and other Oriental medical treatments is good method for treatment of radial nerve palsy. But further studies are required to concretely prove the effectiveness of this methods.

FCST 음양균형장치를 활용한 요골신경마비치료의 증례보고 (A Radial Nerve Palsy Cases Managed by Yinyang Balance Appliance of FCST, a TMJ Therapy for the Balance of Meridian and Neurological System)

  • 김영판;이상배
    • 턱관절균형의학회지
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    • 제5권1호
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    • pp.13-15
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    • 2015
  • 본 증례에서는 자전거 교통사고후 어깨골절로서 금속판 나사제거수술후 주변 연부조직과 허혈성으로 요골신경마비증상에 음양균형장치(맞춤형 CBA, 표준형 TBA)를 포함한 PBT, 균형침치료 등 구조적 치료)를 통해서 아래와 같이 유의한 치료변화가 나타남을 관찰하였다. 1. 주증상인 요골신경마비증상은 85% 호전되었다. 2. 부증상인 불면증, 신경성위염, 간질성폐렴 증상은 시각적상사척도를 통해 VAS 10에서 VAS 0으로 개선됨을 확인하였다.

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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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    • 제55권3호
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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.

Isolated Musculocutaneous Nerve Palsy after the Reverse Total Shoulder Arthroplasty

  • Kim, Sung-Guk;Choi, Chang-Hyuk
    • Clinics in Shoulder and Elbow
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    • 제19권2호
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    • pp.101-104
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    • 2016
  • Reverse total shoulder arthroplasty has been performed with promising results in rotator cuff tear arthropathy. However, the global complication of the reverse total shoulder arthroplasty is relatively higher than that of the conventional total shoulder arthroplasty. Neurologic complications after reverse total shoulder arthroplasty are rare but there are sometimes remaining sequelae. The cause of the neurologic complication is multifactorial, including arm traction, position and the design of the implant. Most cases of neurologic palsy following reverse total shoulder arthroplasty occur in the axillary nerve and the radial nerve. The authors report on a case of a 71-year-old man with isolated musculocutaneous nerve palsy after reveres total shoulder arthroplasty with related literature.

상완골 골절과 동반된 요골 신경 손상에서 자가 비복 신경 이식술의 결과 (Results of the Autogenous Sural Nerve Graft for Ruptured Radial Nerve in the Closed Humerus Shaft Fracture)

  • 이준모;임영진;박종혁
    • Archives of Reconstructive Microsurgery
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    • 제14권2호
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    • pp.138-143
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    • 2005
  • In the high radial nerve palsy caused by displaced humeral shaft fracture, radial nerve have to be explored in the fracture site. 5 cases of the ruptured radial nerve at the fracture site of the humerus from January 1993 through January 2005 were treated at first by open reduction and internal fixation with plates and screws fixation and then defective radial nerves were grafted with autogenous sural nerves by microsurgical epineurial and or perineurial neurorrhaphy. At average 30.4 months follow-up, 5 cases were recovered from motor and sensory deficit with solid bony union of the humerus shaft fracture. Authors have confirmed that ruptured radial nerve in the humerus shaft fracture grafted with autogenous sural nerve with microsurgical epineurial and or perineurial neurorrhaphy would be expected good motor and sensory recovery.

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중성어혈 약침치료를 병행한 요골신경마비 환자 치험 4례 (Case Report of Radial Nerve Palsy Patients Treated with Additional Jungsongouhyul Pharmacopuncture)

  • 최은희;천혜선;이주희;류혜선;양동선;홍석
    • 대한약침학회지
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    • 제14권4호
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    • pp.63-69
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    • 2011
  • Objectives: This study was to investigate the clinical effect of additional Jungsongouhyul Pharmacopuncture on radial nerve palsy patients. Methods & Results: The patients were hospitalized or outpatients in Department of traditional korean medical hospital, Dongshin University from 28th, Oct. 2009 to 25th, Aug, 2010. All patients were treated by additional Jungsongouhyul Pharmacopuncture. To evaluate the wrist drop and numbness of fingers, coding result, Verbal numerical scale (VNS) were used. As the result, symptoms are improved remarkably according to improvement of coding result, VNS score. Conclusions: Patients were treated during 3.5 weeks in average. All cases were excellent results by additional Jungsongouhyul Pharmacopuncture. But further studies are required to investigate exact effects.

요골 신경 마비를 유발한 활액막 연골종 (Synovial Chondroma Causing Radial Nerve Palsy)

  • 전영수;김준용
    • 대한골관절종양학회지
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    • 제13권1호
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    • pp.55-59
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    • 2007
  • 활액막 연골종은 관절의 활액막에서 결체조직의 화생에 의해 연골 조직이 형성되는 질환이며 드물게 건초, 활액낭에 발생하는 경우도 있다. 정확한 발생 기전은 아직 밝혀지지 않았으나 외상, 감염 등이 원인으로 제시되고 있으며 관절 연골을 구성하던 연골의 일부가 떨어져 나와 활액막내로 흡수되어 연골성 화생을 일으킨다는 가설이 유력하다. 주로 슬관절에 발생하며 그 외 견관절, 주관절, 고관절 등에서 발생하는 것으로 알려져 있다. 65세 남자가 약 6개월 간의 우측 주관절 동통, 주관절 구축 및 우측 제1수지와 완관절의 신전 장애 및 감각 저하를 주소로 내원 하였다. 단순 방사선 검사상 주관절의 관절 간격이 좁아져 있었고 관절면의 가장 자리에 골극이 형성되어 있었으며 연골하골은 경화소견이 관찰되었다. 자기 공명 영상 검사상 요골두 직하방 전외측에 약 $16{\times}12$ mm 크기의 원형의 종양이 관찰되었으며, T1 강조 영상에서 균질의 저신호 강도, T2 강조 영상에서 고신호 강도와 저신호 강도가 혼재되어 있었다. 종양 절제술을 시행하였으며 수술소견상 종양에 의해 요골신경이 압박되어있는 소견이 관찰되었다. 절제한 종양은 조직소견상 활액막 연골종으로 진단되었다.

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내경(內徑)의 독취양명이론(獨取陽明理論)으로 치료(治療)한 요골신경마비(撓骨神經痲痺) 환자 7례(例)에 대한 증례보고 (A Case Report of Radial Nerve Palsy Patients with Locating Yangming Channel)

  • 김은미;박영수;허윤경;송형근;최가원;김정호;김영일;홍권의;임윤경;이현
    • Journal of Acupuncture Research
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    • 제22권5호
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    • pp.167-174
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    • 2005
  • Objectives : The purpose of this study is to report the patients with radial nerve palsy, who inproved by oriental medical treatment Methods & Results : The patients were hospitalized Dept. of Acupunture & Moxibustion, College of Oriental Medicine, Daejeon University from 1st, Mar. 2005 to 31th. Aug. 2005, and treated with Acupuncture and Electrical Stimulation theraphy, Herbal medication, Oriental physical therapy. To evaluate the wrist drop and numbness of fingers, Visual Analogue Scale(VAS) and the measurement of wrist circumstance are used. As the result, symptoms are improved remarkably Conclusion : Patients were treated for 4.1 weeks(average). 6 cases were excellent and 1 case was good.

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침치료와 효소제거 봉독요법 집중치료의 압박성 요골신경마비 환자에 대한 증례보고 (Acupuncture and Sweet Bee Venom Treatment of Compressive Neuropathy of the Radial Nerve: Three Cases Report of "Saturday Night Palsy")

  • 임청산;유영진;권기록
    • Journal of Acupuncture Research
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    • 제26권6호
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    • pp.241-249
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    • 2009
  • Objectives : The purpose of this study is to report the patients with compressive neuropathy of the radial nerve(Saturday Night Palsy), who was improved by acupuncture and Sweet Bee Venom(SBV) treatment. Methods & Results : The patients were hospitalized or outpatient in Dept. of Acupuncture & Moxibustion, traditional korean medical hospital, Sangji University from 1st, Dec. 2008 to 30th June 2009, and treated with acupuncture, SBV, electrical stimulation therapy and herbal medication therapy. To evaluate the wrist drop and numbness of fingers, coding result(Arbitrary values used to evaluate result) and digital infrared thermal image, which was well defined diagnostic tool estimating skin surface temperature difference, were used. As a result, patient symptoms were improved remarkably. Conclusions : Patients were treated during 6 weeks in average. 2 cases were excellent and 1 case was evaluated good result by the acupuncture, Sweet Bee Venom, electrical stimulation therapy.

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