Localized Hypertrophic Mononeuropathy Involving the Tibial Nerve

Neurosurgery ◽  
1988 ◽  
Vol 23 (2) ◽  
pp. 218-221 ◽  
Author(s):  
Vasudeva G. Iyer ◽  
Henry D. Garreston ◽  
Ryland P. Byrd ◽  
Steven J. Reiss

ABSTRACT Localized hypertrophic neuropathy (LHN) is a disorder of unknown cause that presents with progressive, predominantly motor weakness in the distribution of a single nerve, with the histological appearance of the “onion bulb” formation. Because of its rarity, the condition is often ignored in the differential diagnosis of mononeuropathy. We report a case of LHN involving the posterior tibial nerve and review the literature.


Author(s):  
Rodolfo Rodríguez Carrillo ◽  
María Dolores Ruiz Carmona ◽  
Rafael Alós Company ◽  
Andrés Frangi Caregnato ◽  
Marina Alarcón Iranzo ◽  
...  


Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 879
Author(s):  
Aida Agost-González ◽  
Isabel Escobio-Prieto ◽  
Azahara M. Pareja-Leal ◽  
María Jesús Casuso-Holgado ◽  
María Blanco-Diaz ◽  
...  

Background: Percutaneous electrical stimulation and transcutaneous electrical stimulation (PTNS and TTNS) of the posterior tibial nerve are internationally recognized treatment methods that offer advantages in terms of treating patients with overactive bladder (OAB) who present with urinary incontinence (UI). This article aims to analyze the scientific evidence for the treatment of OAB with UI in adults using PTNS versus TTNS procedures in the posterior tibial nerve. Methods: A systematic review was conducted, between February and May 2021 in the Web of Science and Scopus databases, in accordance with the PRISMA recommendations. Results: The research identified 259 studies, 130 of which were selected and analyzed, with only 19 used according to the inclusion requirements established. The greatest effectiveness, in reducing UI and in other parameters of daily voiding and quality of life, was obtained by combining both techniques with other treatments, pharmacological treatments, or exercise. Conclusions: TTNS has advantages over PTNS as it is more comfortable for the patient even though there is equality of both therapies in the outcome variables. More research studies are necessary in order to obtain clear scientific evidence.





2009 ◽  
Vol 30 (5) ◽  
pp. 447-451 ◽  
Author(s):  
Tun Hing Lui ◽  
Kwok Bill Chan ◽  
Lap Ki Chan

Background: The purpose of this study was to verify the safety and efficacy of zone 2 flexor hallucis longus tendoscopy with the patient in the prone position. Materials and Methods: The technique was performed in 12 cadaver feet (6 pairs). The endoscopic findings were compared to an anatomic dissection. The locations of the posteromedial and plantar portals were studied. The relationship between the medial plantar nerve and the tract of FHL tendoscopy was also studied. Result: The average distance of the posteromedial portal above the medial malleolar tip was 10.3 mm. The average distance between the posteromedial portal and the posterior tibial nerve was 9.9 mm. The average distance between the plantar portal and the intermalleolar line was 41.5 mm. The average distance between the rod simulating the tenoscope and the nerve was 4.8 mm. The nerve was medial to the rod in 4 specimens and lateral to the rod in 8 specimens. Conclusion: Zone 2 flexor hallucis longus tendoscopy was a feasible approach to the deep portion of the flexor hallucis longus tendon in this cadaveric study. There is potential risk of damage to the medial plantar nerve. Clinical Relevance: These findings can help guide a surgeon who is considering trying this clinically.





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