Surgical treatment of abdominal compression syndromes: The significance of hypermobility‐related disorders

♦ Peripheral nerve compression syndromes are common when involving the median nerve at the wrist and the ulnar nerve at the elbow♦ All patients are primarily diagnosed using a careful history and clinical examination♦ Neurophysiological studies are very helpful especially in confusing presentations but do have a low false positive and false negative rate♦ Conservative management should be tried in nearly all patients for 6-12 weeks♦ Surgical treatment is generally very successful in relieving the symptoms of peripheral nerve compression♦ Delayed treatment can result in permanent nerve damage which cannot be corrected by surgery.

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Surgical Treatment of Thoracic Outlet Compression Syndromes. II. Supraclavicular Exploration and Vascular Reconstruction

Annals of Vascular Surgery ◽

10.1007/s100169900074 ◽

1997 ◽

Vol 11 (4) ◽

pp. 442-451 ◽

Cited By ~ 45

Author(s):

Robert W. Thompson ◽

Drazen Petrinec ◽

Boulos Toursarkissian

Keyword(s):

Surgical Treatment ◽

Vascular Reconstruction ◽

Compression Syndromes

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Comparision between the clinical and surgical treatment in carpal tunel syndrome by means of electrophysiological analysis

JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA ◽

10.22290/jbnc.v17i2.1607 ◽

2018 ◽

Vol 17 (2) ◽

pp. 17-20

Author(s):

Fábio V. C. Sparapani ◽

Paulo Henrique Pires De Aguiar ◽

Carlos A. M. Zicarelli ◽

Maria T. A. Hirata ◽

António J. Tedesco-Marchese ◽

...

Keyword(s):

Surgical Treatment ◽

Carpal Tunnel Syndrome ◽

Longitudinal Section ◽

Clinical Treatment ◽

Slow Recovery ◽

Antiinflammatory Drugs ◽

Electrophysiological Studies ◽

Tunnel Syndrome ◽

Surgical Group ◽

Compression Syndromes

Introduction: The carpal tunel syndrome in the most common of the compression syndromes. It is characterized by pain, weakness of fine movements and paresthesias in the first four fingers of the hand. Diagnosis is confirmed by neurological examination and recently the electroneuromiography (ENMG) is useful to define prognosis. Objective: The authors analysed 33 patients, both fistis presenting with carpal tunnel syndrome, by means of electrophysiological studies in order to compare the clinical and surgical treatment. Casuistics and method: Twenty five patients (42 hands) were successfully submitted to clinical treatment and 16 patients (18 hands) were submitted to surgical treatment. The clinical treatment consisted in immobilization, pyridoxine administration and eventually antiinflammatory drugs for a three-months stipulated period. The surgical treatment consisted in complete longitudinal section of transverse carpal retinaculum and recovery was analysed electrophysiologically by means of ENMG before and over 3 months after treatment. In the non-surgical group, sensitive velocity increased in most of the patients, however amplitudes had overall no changes. Conclusion: Surgical treatment accelerates recovery in all aspects of electrophysiological anlysis corresponding to neurological recovery. ENMG should be also advocated in the cases of absence and/or slow recovery.

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Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100116267 ◽

1975 ◽

Vol 33 ◽

pp. 528-529

Author(s):

M.D. Graham

Keyword(s):

Electron Microscope ◽

Surgical Treatment ◽

Scanning Electron Microscope ◽

Osmic Acid ◽

Human Cadaver ◽

Electron Microscopic ◽

Scanning Electron Microscopic ◽

Normal Human ◽

Microscopic Findings ◽

Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

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