림프부종에 의한 신경포착증후군: 증례 보고A Case Report of Nerve Entrapment Syndrome with Lymphedema
- Other Titles
- A Case Report of Nerve Entrapment Syndrome with Lymphedema
- Authors
- 김홍렬; 안덕선
- Issue Date
- 2010
- Publisher
- 대한성형외과학회
- Keywords
- Lymphedema; Nerve entrapment syndrome
- Citation
- Archives of Plastic Surgery, v.37, no.1, pp.95 - 98
- Indexed
- KCI
- Journal Title
- Archives of Plastic Surgery
- Volume
- 37
- Number
- 1
- Start Page
- 95
- End Page
- 98
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/118379
- ISSN
- 2234-6163
- Abstract
- Purpose: One of the most common cause of upper extremity lymphedema is breast cancer surgery. We experienced the nerve entrapment syndrome which was associated with postmastectomy lymphedema. To the best of our knowledge, this is the first case report of lymphedema induced nerve entrapment syndrome on upper extremity in Korea.
Methods: A 54-year-old woman presented with a tingling sensation on her right hand, which had been present for 1 year. On her history, she had a postmastectomy lymphedema on her right upper extremity for 20 years.
Initial electromyography (EMG) showed that the ampulitude of the median, ulnar, and dorsal ulnar cutaneous nerve were decreased, and conduction block was also seen in median nerve across the wrist. In needle EMG,incomplete interference patterns were observed in the muscles innervated by median and ulnar nerves. In conclusion, electrophysiologic study and clinical findings suggested right median and ulnar neuropathy below the elbow. Therefore, we performed surgical procedures, which were release of carpal tunnel, Guyon’s canal, and cubital tunnel.
Results: The postoperative course was uneventful until the first two years. The tingling sensation and claw hand deformity were improved, however, the motor function decreased progressively. In 7 years after the operation,patient could not flex her wrist and thumb sufficiently. EMG which was performed recently showed that ulnar motor response was of low ampulitude. Moreover, median, ulnar,dorsal ulnar cutaneous, lateral antecubital cutaneous and median antebrachial cutaneous sensory response were unobtainable. Abnormal spontaneous activities were observed in upper arm muscles. In conclusion, multiple neuropathies were eventually developed at above elbow level. Conclusion: On treating nerve entrapments associated with lymphedema, medical professionals should be fully aware of the possibility of unpredictable results after the surgery, because of the pathophysiologic traits of chronic lymphedema.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.