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一个复杂的病例,一个运动员患有耐火性劳动分区综合征与支柱状神经病变
Won J Jeong1, Jason P Caffrey, Bernardo E Gonzalez
1H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas.
概括
本案例研究详细介绍了一名运动员的腿部疼痛,原因是同时发生的常见腹神经陷 (CPNE) 和慢性劳力区综合征 (CECS). 诊断包括成像,电诊断和选择性神经阻塞.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 腿部疼痛可能源于各种原因,包括不常见的疾病,如常见的神经陷 (CPNE) 和慢性劳力区综合征 (CECS).
- 准确诊断这些情况需要彻底评估,特别是在运动员呈现持久的腿部疼痛.
研究的目的:
- 在一个休运动员中呈现一种罕见的CPNE和CECS并发病例.
- 探索先前的双边状带切除术在这些疾病的发展中的潜在作用.
- 为了突出选择性运动小腿神经块的诊断实用性,用于CECS的水解剖.
主要方法:
- 一个中年休运动员的病例报告,有双边状带切除术的病史,与腿部疼痛有关.
- 利用超声波成像和电诊断测试来证实双边常见腹膜神经病变.
- 为了诊断目的,采用了选择性运动小腿神经块与水解剖.
主要成果:
- 通过超声波和电诊断测试证实了双边常见的经神经病变.
- 在双边神经减压后,左腿疼痛消失了,但右小腿疼痛持续了.
- 选择性运动小腿神经阻塞与水解剖提供了暂时的缓解,导致诊断CECS在右腿.
结论:
- 同时的CPNE和CECS可以导致运动员出现复杂的腿部疼痛表现.
- 切前的痕组织可能会导致室内压力增加和随后的CECS.
- 选择性运动神经堵塞与水解剖可以是一个有价值的诊断工具来识别CECS.
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