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Tremor Induced by Focal Peripheral Nerve Entrapment: A Case Series
Bianief Tchiloemba1,2, Min Cheol Chang3, Benjamin Ferembach4
1Exception MD Clinic, Montreal, Canada.
Journal of Hand Surgery Global Online
|December 18, 2023
Summary
Peripheral nerve entrapment can cause tremors. Surgical release of compressed nerves resolved tremors and improved neurological symptoms in two patients, suggesting this as a potential treatment.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Tremors are often idiopathic or associated with central nervous system disorders.
- The link between peripheral nerve entrapment and tremors is not well-established.
Observation:
- Two patients presented with intentional tremors and symptoms of peripheral nerve compression in their hands.
- Case 1: Ulnar nerve double-crush compression at the cubital tunnel and Guyon canal.
- Case 2: Lacertus syndrome.
Findings:
- Surgical decompression of the affected nerves was performed in both cases.
- Following surgery, both patients experienced complete resolution of tremors.
- Neurological symptoms significantly improved in both patients at the 1-month follow-up.
Implications:
- Peripheral nerve entrapment should be considered in the differential diagnosis of tremors, especially when accompanied by neuropathy symptoms.
- Surgical nerve release can be an effective curative treatment for tremors caused by peripheral nerve compression.
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