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一个患有状道综合征的患者与曲肌 (Flexor Digitorum Accessorius Longus) 肌肉相关
Kosuke Miwa1, Kyongsong Kim1, Rinko Kokubo1
1Department of Neurological Surgery, Chiba Hokuso Hospital, Nippon Medical School, Inzai, Chiba, Japan.
NMC case report journal
|June 12, 2024
概括
柔的指纹长肌肉 (ALM) 可以导致状道综合征 (TTS). 在患有ALM相关双侧TTS的患者中,后神经的手术减压缓解了症状.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 手术解剖学手术解剖学
背景情况:
- 状道综合征 (TTS) 是后神经被困,导致脚疼痛和麻木.
- 异常病例很常见,但大规模病变也可能导致TTS.
- 伸缩指部 (flexor digitorum accessorius longus) 肌肉 (ALM) 是TTS的一个经常被忽视的原因.
研究的目的:
- 报告一个双边TTS病例,由flexor digitorum ALM引起.
- 强调在TTS诊断和治疗中考虑动态因素的重要性.
主要方法:
- 一个80岁的女性双边TTS的病例报告.
- 基于症状和MRI发现的诊断.
- 在局部麻醉下进行双边后神经减压手术,包括动脉脱和右侧部分肌切除.
主要成果:
- 患者的双边TTS被归因于动脉静脉复合体的压缩和与 flexor digitorum ALM 的接触.
- 手术后症状的改善和6个月的手术满意度.
- 动态因素,如脚脚下曲,影响了神经的压缩.
结论:
- 伸缩指部ALM可以成为状道综合征的重要原因.
- 在MRI评估和TTS手术规划期间,应考虑动态因素和其他潜在病因.
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