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Nerve entrapment

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https://www.readbyqxmd.com/read/29026761/postherpetic-neuralgia-diabetic-neuropathy-and-trigeminal-neuralgia-chronic-peripheral-neuropathic-pain-in-58-480-rural-italian-primary-care-patients
#1
Nicola Buono, Hans Thulesius, Ferdinando Petrazzuoli, Elena Castelli, Marco Cambielli
INTRODUCTION: Chronic peripheral neuropathic pain (CPNP) is a condition due to peripheral nervous system diseases or injury, but its prevalence is unknown in Italian primary care. AIM: The aim of this study is to assess the prevalence of CPNP in a rural primary care area in Northern Italy. MATERIALS AND METHODS: A multicenter audit study was carried out in a rural area in Northern Italy with 113 participating general practitioners (GPs) seeing 58,480 patients >18 years during 3 months...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29022807/surgery-for-popliteal-artery-entrapment-syndrome-use-of-an-intraoperative-tibial-nerve-stimulator-and-duplex-ultrasound
#2
G Dovell, R J Hinchliffe
No abstract text is available yet for this article.
September 13, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29022773/native-paraneurial-tissue-and-paraneurial-adhesions-alter-nerve-strain-distribution-in-rat-sciatic-nerves
#3
Ian M Foran, Vincent Hussey, Rushil A Patel, Jaemyoung Sung, Sameer B Shah
Paraneurial adhesions have been implicated in the pathological progression of entrapment neuropathies. Surgical decompression of adhesions is often performed, with the intent of restoring nerve kinematics. The normal counterpart of adhesions, native paraneurium, is also thought to influence nerve deformation and mobility. However, influences of native or abnormal paraneurial structures on nerve kinematics have not been investigated. We measured regional strains in rat sciatic nerves before and immediately after decompression of native paraneurial tissue, and before and after decompression of abnormal paraneurial adhesions, which formed within 6 weeks of the initial decompression...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29022157/radiosurgery-in-trochlear-and-abducens-nerve-schwannomas-case-series-and-systematic-review
#4
Iulia Peciu-Florianu, Constantin Tuleasca, Jean-Nicolas Comps, Luis Schiappacasse, Michele Zeverino, Roy Thomas Daniel, Marc Levivier
INTRODUCTION: Schwannomas involving the occulomotor cranial nerves  (CNs; III, IV and VI), can be disabling, due to the associated diplopia and decreased quality of life and are extremely rare. We evaluated the role of Gamma Knife surgery (GKS) in these cases. METHODS: Five patients with CN IV and VI schwannomas (three and two, respectively) were treated in Lausanne University Hospital between 2010 and 2015. Four benefitted from upfront GKS and one from a combined approach (planned subtotal resection followed by GKS), due to a large preoperative tumour volume (size, 3 × 2 × 2...
October 11, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29021927/split-femoral-nerve-due-to-psoas-tertius-muscle-a-review-with-other-cases-of-variant-muscles-traversing-the-femoral-nerve
#5
Shehzad Khalid, Joe Iwanaga, Marios Loukas, R Shane Tubbs
Leg pain from lumbar disc herniation is a common presentation. However, certain muscular and peripheral nerve variants may present similarly and represent an unrecognized etiology of femoral nerve dysfunction. Such cases might affect the outcome of specific treatment regimes. Therefore, recognition of these variations in anatomy may be useful to the clinician when treating the patient with medically refractory lower limb pain. Some reports have reported variant slips of the psoas and iliacus muscles, which may split the femoral nerve causing a potential risk for nerve entrapment...
August 9, 2017: Curēus
https://www.readbyqxmd.com/read/29020997/anterior-cutaneous-nerve-entrapment-syndrome-with-pain-present-only-during-carnett-s-sign-testing-a-case-report
#6
Ryutaro Tanizaki, Yousuke Takemura
BACKGROUND: The identification of anterior cutaneous nerve entrapment syndrome is often challenging, due to no widely accepted standard guidelines regarding laboratory and imaging tests for the diagnosis of ACNES. CASE PRESENTATION: A 77-year-old Japanese man presented with mild lower abdominal pain that had been present for the past 3 years. Physical examination revealed no abdominal pain during palpation, with normal laboratory and imaging testing; therefore, conservative therapy was initiated...
October 11, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29017511/mechanical-wrist-traction-as-a-non-invasive-treatment-for-carpal-tunnel-syndrome-a-randomized-controlled-trial
#7
Margreet Meems, Viola Spek, Willem J Kop, Berend-Jan Meems, Leo H Visser, Victor J M Pop
BACKGROUND: Carpal tunnel syndrome (CTS) is a common, compressive nerve-entrapment disorder with symptoms of numbness, paresthesia, and pain. Carpal tunnel release surgery is the only known long-term effective treatment. However, surgery is invasive and up to 30% of patients report recurrence or persistence of symptoms or suffer from post-surgical complications. A promising non-surgical treatment for CTS is mechanical wrist traction. The purpose of this study was to evaluate clinical outcomes following mechanical traction in patients with CTS compared to care as usual...
October 10, 2017: Trials
https://www.readbyqxmd.com/read/29016507/cadaveric-nerve-and-artery-proximity-to-sacrospinous-ligament-fixation-sutures-placed-by-a-suture-capturing-device
#8
Aaron Z Katrikh, Rajuno Ettarh, Margie A Kahn
OBJECTIVE: To simulate sacrospinous ligament fixation on cadaveric specimens, describe the surrounding retroperitoneal anatomy, and estimate the risk to nerves and arteries for the purposes of optimizing safe suture placement. METHODS: Sacrospinous ligament fixation was performed on eight fresh-tissue female cadavers using a Capio ligature capture device. Distances from placed sutures to the following structures were measured: ischial spine; fourth sacral root; pudendal nerve; the nerve to coccygeus muscle; the nerve to levator ani muscle; inferior gluteal artery; and internal pudendal artery...
October 6, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28987902/comparison-of-ultrasonography-and-short-segment-nerve-conduction-study-in-ulnar-neuropathy-at-the-elbow
#9
Rana Terlemez, Figen Yilmaz, Beril Dogu, Banu Kuran
OBJECTIVE: We aimed to assess the correlation between ultrasonographic and electrodiagnostic findings to determine the localization of the ulnar trapping at the elbow. DESIGN AND SETTING: A cross-sectional and non-interventional trial was conducted in patients diagnosed as ulnar nerve entrapment in physical medicine and rehabilitation department of a teaching hospital. PARTICIPANTS: Between January 2017 and April 2017, 14 patients diagnosed as ulnar nerve entrapment (UNE) with short segment nerve conduction study were enrolled...
October 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28979592/irreparable-radial-nerve-palsy-due-to-delayed-diagnostic-management-of-a-giant-lipoma-at-the-proximal-forearm-resulting-in-a-triple-tendon-transfer-procedure-case-report-and-brief-review-of-literature
#10
Ingo Schmidt
BACKGROUND: Non-traumatic radial nerve palsy (RNP) caused by local tumors is a rare and uncommon entity. METHODS: A 62-year-old female presented with a left non-traumatic RNP, initially starting with weakness only. It was caused by a benign giant lipoma at the proximal forearm that was misdiagnosed over a period of 2 years. The slowly growth of the tumor led to an irreparable overstretching-related partial nerve disruption. For functional recovery of the patient, a triple tendon transfer procedure had to be performed...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28978583/management-and-patients-perspective-regarding-a-common-peroneal-nerve-schwannoma-a-rare-cause-of-lower-leg-pain-in-a-young-individual
#11
Aniek Pm van Zantvoort, Paul Cuppen, Marc R Scheltinga
The differential diagnosis of exercise-induced lower leg pain in young individuals is extensive and includes entities such as chronic exertional compartment syndrome, popliteal arterial entrapment syndrome, cystic adventitial disease, medial tibial stress syndrome and tibial stress fractures. Peripheral nerve-related lower leg pain syndromes are unusual. We present a 41-year-old woman who was diagnosed with an ancient schwannoma of the right common peroneal nerve (CPN) as a rare cause of lower leg pain. This case report provides simple diagnostic bedside tools that may be used to diagnose CPN abnormalities...
October 4, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28970979/all-endoscopic-brachial-plexus-complete-neurolysis-for-idiopathic-neurogenic-thoracic-outlet-syndrome-surgical-technique
#12
Thibault Lafosse, Malo Le Hanneur, Laurent Lafosse
Neurogenic thoracic outlet syndrome is caused by a neurologic compression of the brachial plexus before it reaches the arm. Three anatomic areas are common locations for such an entrapment because of their congenital and/or acquired tightness: the interscalene triangle, the costoclavicular space, and the retropectoralis minor space. Because the compression level usually remains unknown, the treatment is still controversial and most teams focus on only one potential site. We propose an all-endoscopic technique of complete brachial plexus neurolysis that can be divided into three parts, one for each entrapment area...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28969808/management-of-atraumatic-posterior-interosseous-nerve-palsy
#13
REVIEW
Kohila Vani Sigamoney, Abbas Rashid, Chye Yew Ng
The posterior interosseous nerve (PIN) is susceptible to a number of traumatic and atraumatic pathologies. In this article, we aim to review our current understanding of the etiology, pathology, diagnosis, treatment options, and published outcomes of atraumatic PIN palsy. In general, the etiology of atraumatic PIN palsy can be divided into mechanical, which is caused by an extrinsic compressive force on the nerve, and nonmechanical, which is caused by an intrinsic inflammatory reaction within the nerve. As per this discussion, there are 3 causes for atraumatic PIN palsy...
October 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28968362/ultrasonography-in-peripheral-nervous-system-diagnosis
#14
Francis O Walker
PURPOSE OF REVIEW: High-resolution ultrasound has made it possible to view most nerves and muscles in real time and to identify pathologic change in size, echo texture, and vascularity. This article focuses on the principles underlying ultrasound imaging and the application of ultrasound imaging to clinical disorders commonly seen in an electrodiagnostic laboratory. RECENT FINDINGS: Ultrasound is a sensitive and specific tool for evaluating myopathic and neurogenic muscle disease...
October 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28959514/prevalence-of-obesity-in-carpal-tunnel-syndrome-patients-a-cross-sectional-survey
#15
Salman Mansoor, Maimoona Siddiqui, Farrukh Mateen, Shoab Saadat, Zarak H Khan, Mehr Zahid, Hamza H Khan, Shuja A Malik, Salman Assad
Carpal tunnel syndrome (CTS) is the most common compressive entrapment neuropathy caused by the compression of the median nerve at the wrist space known as the carpal tunnel. The epidemiologic factors related to CTS include genetic, medical, social, vocational, and demographic factors. The common symptoms experienced include pain, paresthesia, and numbness in the median nerve distribution. If left untreated, it can lead to irreversible median nerve damage, causing a loss of hand function. Body mass index (BMI) has been attributed as a risk factor for the development of CTS...
July 26, 2017: Curēus
https://www.readbyqxmd.com/read/28957618/quadrilateral-space-syndrome-treated-with-ultrasound-guided-corticosteroid-injection-a-case-of-isolated-teres-minor-atrophy-and-review-of-the-literature
#16
Peter S Chang, Nathan Jacobson, Kwang U Chang
Quadrilateral space syndrome (QSS) is a rare orthopedic condition caused by compression, entrapment, or injury to the axillary nerve or posterior humeral circumflex artery as they arise from the quadrilateral space. QSS can present with point tenderness over the quadrilateral space and weakness and paresthesia in the axillary nerve distribution. It is commonly associated with repetitive overhead activities and is seen in athletes engaging in such activities. Here we report a case of QSS in a 42-year-old male weight lifter who presented with pain and soreness in the posterior aspect of his right shoulder radiating around his arm as well as slight weakness of his right shoulder of a few weeks duration...
October 2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/28941276/diffuse-idiopathic-skeletal-hyperostosis-causing-l4-and-l5-nerve-root-entrapment
#17
REVIEW
F Taylor-Brown, S De Decker
No abstract text is available yet for this article.
September 23, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/28940994/drg-spinal-cord-stimulation-as-solution-for-patients-with-severe-pain-due-to-anterior-cutaneous-nerve-entrapment-syndrome-a-case-series
#18
Frédérique Mathilde Ulrike Mol, Rudi M H Roumen
OBJECTIVES: Anterior Cutaneous Nerve Entrapment Syndrome (ACNES) is a debilitating neuropathic pain condition. A small portion of patients do not respond to any currently available treatment modalities. These patients, often young women, might benefit from targeted spinal cord stimulation of the dorsal root ganglion (DRG). METHODS: This retrospective case series describes five ACNES patients who were referred from a Dutch dedicated tertiary referral center to collaborating sites with extensive experience in DRG stimulation to be implanted with a DRG Axium System (St...
September 21, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/28937274/visualization-of-the-lumbar-nerve-using-reduced-field-of-view-diffusion-tensor-imaging
#19
Yawara Eguchi, Hirohito Kanamoto, Sumihisa Orita, Kazuhide Inage, Kazuki Fujimoto, Yasuhiro Shiga, Koki Abe, Masahiro Inoue, Hideyuki Kinoshita, Koji Matsumoto, Yoshitada Masuda, Masao Koda, Yasuchika Aoki, Yasuhiro Oikawa, Kazuhisa Takahashi, Seiji Ohtori, Takeo Furuya, Atsuya Watanabe
OBJECTIVE: We investigated high resolution diffusion tensor imaging (DTI) of lumbar nerves with reduced field-of-view (rFOV) using 3-Tesla MRI. METHODS: DTI measured with rFOV was compared with conventional FOV (cFOV) 3.0 T MRI in 5 healthy volunteers and 10 patients with degenerative lumbar disorders. The intracanal, foramina, and extraforamina of the L5 nerve were established as the regions-of-interest (ROI) and fractional anisotropy (FA) values and apparent diffusion coefficient (ADC) values were measured...
September 13, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28934803/two-interesting-cases-of-meralgia-paraesthetica
#20
Christopher David Jones, Luke Guiot, Mark Portelli, Timothy Bullen, Paul Skaife
Meralgia paraesthetica (MP) is a condition originally described by Bernhardt in 1878 and was eventually named by Roth in 1895. It is caused by compression of the lateral femoral cutaneous nerve (LFCN) resulting in varying types of discomfort. Severity of the symptoms can range from mildly uncomfortable to painfully disabling. In this article we discuss 2 patients with a LFCN injury occurring as a result of laparoscopic ventral rectopexy (LVR). The first patient is a 46-year-old female who reported pain and dysesthesia in the left groin and the anterolateral thigh, 2 days post LCR...
September 2017: Pain Physician
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