关键词: Aneurysm Compression Guyon's canal

来  源:   DOI:10.1016/j.ijscr.2024.109978

Abstract:
UNASSIGNED: The ulnar\'s nerve compression at the Guyon\'s canal is not a frequent entity add to it that vascular lesions are rarely involved as a causative agent of this syndrome.
METHODS: We report a case of a young male patient admitted in our department for a Guyon\'s canal syndrome due to an aneurysm of the ulnar artery and underwent a surgical decompression. Post-operative course was uneventful and the patient was satisfied with the result.
UNASSIGNED: Many etiologies are involved in the Guyon\'s canal syndrome and these etiologies can be arranged into groups. Previous treatment attempts, the duration and severity of the symptoms and the underlying etiology dictate the treatment options. Adjacent vascular enlargement is not a usual cause of Guyon\'s canal compression and a few case reports were reported in the literature. Surgical treatment by opening and releasing the roof of Guyon\'s canal and removing the aneurysm helped to achieve good outcome in most reports.
CONCLUSIONS: Guyon\'s canal syndrome is less frequent than both cubital tunnel syndrome or carpal tunnel syndrome and many causative agents have been described. Vascular lesions are not the usual cause of compressing the ulnar nerve at the wrist and through this case we spotlighted this entity as another possible etiology requiring an adequate treatment for a better outcome.
摘要:
Guyon管的尺骨神经压迫并不是一个常见的实体,血管病变很少作为该综合征的病原体而涉及。
方法:我们报告了一例年轻男性患者,因尺动脉动脉瘤导致的Guyon管综合征入院,并接受了手术减压。术后过程顺利,患者对结果感到满意。
Guyon管综合征涉及许多病因,这些病因可以分组。以前的治疗尝试,症状的持续时间和严重程度以及潜在的病因决定了治疗方案。邻近的血管增大不是Guyon管受压的常见原因,文献中报道了一些病例。在大多数报道中,通过打开和释放Guyon管的顶部并切除动脉瘤的手术治疗有助于取得良好的疗效。
结论:Guyon管综合征的频率低于肘管综合征或腕管综合征,并且已经描述了许多病原体。血管病变不是压迫腕部尺神经的常见原因,通过这种情况,我们将其视为另一种可能的病因,需要适当的治疗才能获得更好的结果。
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