Median nerve compression caused by a venous aneurysm

2001 ◽  
Vol 94 (4) ◽  
pp. 624-626 ◽  
Author(s):  
Gerhard Marquardt ◽  
Soledad M. Barduzal Angles ◽  
Fouad D. Leheta ◽  
Volker Seifert
Keyword(s):  
Median Nerve ◽  
Rare Case ◽  
Venous Malformation ◽  
Correct Diagnosis ◽  
Nerve Compression ◽  
Venous Aneurysm ◽  
Complete Relief ◽  
Upper Arm ◽  
Content Type ◽  
Different Levels

✓ A rare case of peripheral-nerve compression in the upper arm caused by a spontaneous venous aneurysm is reported. The apparent dysfunction of the median nerve led to various vain surgical explorations of the nerve at different levels. The real localization of nerve entrapment was identified by a thorough clinical examination, and sonography yielded a correct diagnosis. Surgical resection of the venous aneurysm resulted in complete relief of pain. To the authors' knowledge, this is the first report of a spontaneous venous malformation in the upper arm causing focal neuropathy.

Struthers ligament: a source of median nerve compression above the elbow

1973 ◽  
Vol 38 (6) ◽  
pp. 778-779 ◽  
Author(s):  
Richard V. Smith ◽  
Robert G. Fisher
Keyword(s):  
Median Nerve ◽  
Surgical Procedure ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Historical Background ◽  
Complete Relief ◽  
Content Type ◽  
Median Nerve Compression ◽  
Supracondylar Process ◽  
Fine Print

✓ A case of median nerve entrapment at the elbow by a non-osseous fibrous ligament (Struthers) is presented. A relatively simple surgical procedure with ligament division afforded complete relief of symptoms. The existence of Struthers' ligament without a bony supracondylar process is reaffirmed, and the historical background of its identification outlined.

scholarly journals Duplication in the formation of median nerve - a case report

2015 ◽  
Vol 04 (01) ◽  
pp. 043-045
Author(s):  
Gyata Mehta ◽  
Varsha Mokhasi
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Lateral Root ◽  
Axillary Artery ◽  
Anatomical Variations ◽  
Upper Arm ◽  
Present Case Report ◽  
Lateral Cord ◽  
Two Stages ◽  
Different Levels

AbstractThe median nerve is formed in the axilla by fusion of the two roots from the lateral and medial cords. The present case report describes an anomalous presentation of double formation of median nerve and its relation with axillary and brachial arteries. The median nerve was formed in two stages at different levels, first in the axilla and then in the upper arm by receiving double contribution from the lateral root of the lateral cord, which fuse with the medial root of the medial cord to form the median nerve. The formation took place medial to the axillary artery in the axilla and antero-medial to the brachial artery in the arm. Such anatomical variations and their relation with the arteries are important for the surgeons and anesthesiologists and of great academic interest to the anatomists.

Posttraumatic hematoma beneath the epineurium of a branch of the median nerve

1977 ◽  
Vol 46 (4) ◽  
pp. 542-543 ◽  
Author(s):  
Lech Polis ◽  
Jerzy Brzezinski
Keyword(s):  
Median Nerve ◽  
Rare Case ◽  
Probable Mechanism ◽  
Full Recovery ◽  
Nerve Function ◽  
Content Type ◽  
Fine Print

✓ A very rare case of a posttraumatic hematoma, localized beneath the epineurium of a branch of the median nerve, is described and a probable mechanism of its development is given. Full recovery of nerve function followed surgery.

Bilateral median nerve compression at the level of Struthers' ligament

2000 ◽  
Vol 92 (4) ◽  
pp. 693-696 ◽  
Author(s):  
Atif Aydinlioglu ◽  
Bayram Cirak ◽  
Fuat Akpinar ◽  
Nihat Tosun ◽  
Ali Dogan
Keyword(s):  
Median Nerve ◽  
Motor Function ◽  
Surgical Decompression ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Sensory Disturbance ◽  
Content Type ◽  
Median Nerve Compression ◽  
Function Loss ◽  
Fine Print

✓ Struthers' ligament syndrome is a rare cause of median nerve entrapment. Bilateral compression of the median nerve is even more rare. It presents with pain, sensory disturbance, and/or motor function loss at the median nerve's dermatomal area. The authors present the case of a 21-year-old woman with bilateral median nerve compression caused by Struthers' ligament. She underwent surgical decompression of the nerve on both sides. To the authors' knowledge, this case is the first reported bilateral compression of the median nerve caused by Struthers' ligament. The presentation and symptomatology of Struthers' ligament syndrome must be differentiated from median nerve compression arising from other causes.

scholarly journals Median nerve compression caused by superficial brachial artery: an unusual clinical case

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052096904
Author(s):  
Jialei Liu ◽  
Kunjing Zhong ◽  
Dingkun Lin
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Muscle Relaxation ◽  
Venous Malformation ◽  
Sensory Neuropathy ◽  
Nerve Compression ◽  
Neurological Deficits ◽  
Superficial Brachial Artery ◽  
Median Nerve Compression ◽  
Pulsatile Pressure

An iatrogenic pseudoaneurysm of the radial artery and spontaneous venous malformation are associated with median nerve compression. However, the superficial brachial artery (SBA) has rarely been described as the cause of neurological deficits due to median nerve compression. A 61-year-old man was admitted to our clinic with a 1-year history of intermittent aching palsy in the left thumb that had progressed to the first three fingers. Clinical examination revealed mild sensory disturbance and hyperpathia in the first three fingers and weakness of the opponens pollicis. Ultrasound and magnetic resonance imaging confirmed that the SBA was compressing the median nerve by almost one-third. When anomalies of the SBA impinge on the median nerve, pulsatile pressure is applied to the nerve trunk. This may trigger ectopic stimulation of sensory fibers, leading to severe pain, sensory neuropathy, and motor disturbance. Considering the substantial difficulties and risks of a surgical operation as well as the patient’s wish to undergo conservative treatment, we performed muscle relaxation and acupuncture to relieve the pressure of the surrounding soft tissue and in turn decrease the impingement of the SBA on the median nerve. A satisfactory treatment effect was reached in this case.

Median Nerve Compression Secondary to a High Insertion of Pronator Teres

2010 ◽  
Vol 2 (2) ◽  
pp. 124-126 ◽  
Author(s):  
Robert A. Mcculloch ◽  
Simon B. M. Maclean ◽  
Jag Dhaliwal ◽  
Adrian W. Simons
Keyword(s):  
Median Nerve ◽  
Nerve Compression ◽  
Surgical Removal ◽  
X Rays ◽  
Upper Arm ◽  
Median Nerve Compression ◽  
Pronator Teres ◽  
History Of ◽  
History Of Pain ◽  
Supracondylar Process

We present a case of a 46-year-old male presenting with a 10 year history of pain and paraesthesia in the median nerve distribution together with a palpable lump in the upper arm. X-rays confirmed a supracondylar process of the humerus. Intra-operatively it was found that there was an aberrant insertion of one of the heads of pronater teres from the process. After surgical removal of the process and release of the head of pronator teres his symptoms improved.

Bilateral anomalous course of the ulnar nerve at the wrist causing ulnar and median nerve compression syndrome

1987 ◽  
Vol 67 (5) ◽  
pp. 754-756 ◽  
Author(s):  
Renato J. Galzio ◽  
Vincenzo Magliani ◽  
Danilo Lucantoni ◽  
Corrado D'Arrigo
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Nerve Compression ◽  
Content Type ◽  
Nerve Compression Syndrome ◽  
Median Nerve Compression ◽  
Compression Syndrome ◽  
Fine Print

✓ The case of a patient with a bilateral compression syndrome of the ulnar and median nerves at the wrist is described. Both ulnar nerves, which were surgically explored at different times, followed an anomalous course and passed into the canalis carpi side by side with the median nerve. This variation in the course of the ulnar nerve is extremely rare and causes a unique syndrome with characteristic electromyographic patterns.

MEDIAN NERVE COMPRESSION SECONDARY TO LIPOMA ARISING FROM FLEXOR TENOSYNOVIUM: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 83-86 ◽  
Author(s):  
Marios D. Vekris ◽  
Marios G. Lykissas ◽  
Alexandros E. Beris
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Compression ◽  
Complete Relief ◽  
Sensory Disturbance ◽  
Neurologic Symptoms ◽  
Median Nerve Compression

Lipomas are space-occupying lesions that may rarely be responsible for compression neuropathies. Here we report a case of a lipoma arising from flexor tenosynovium that was responsible for a sensory disturbance resulting from the compression of the median nerve in the carpal tunnel. The patient had complete relief from the neurologic symptoms six months after lipoma excision.

scholarly journals Nerve compression as an essential factor in causing ischaemic and post-ischaemic paraesthesiae

1950 ◽  
Vol 8 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Eros Abrantes Erhart
Keyword(s):  
Tibial Nerve ◽  
Proximal Part ◽  
Nerve Compression ◽  
Essential Factor ◽  
Upper Arm ◽  
Sensory Disturbances ◽  
Different Levels

In order to explain why ischaemia produced by compression at the proximal part of the forearm or at the wrist, does not cause sensory disturbances identical to those observed in compression at the upper arm, several experiments were made on ourselves and other subjects. The method used was essentially that of Lewis and Pochin. Circulation was blocked at different levels of the limb by applying the pressure of 200 mm/Hg with a sphygmomanometer cuff; compression of the median, ulnar and tibial nerve trunks was made with the aid of a small cushion under the cuff. We observed always that the nerve compression is an essential factor in causing ischaemic and post-ischaemic paraesthesiae.

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