Concomitant compression of median and ulnar nerves in a hemophiliac patient: A case report Compression simultanée des nerf médian et ulnaire chez un patient hémophile

KAYMAK B., ÖZÇAKAR L., ÇETİN A., Erol K., ÖZÇAKAR Z. B.

Revue du Rhumatisme (Edition Francaise), cilt.69, sa.12, ss.1250-1252, 2002 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 69 Sayı: 12
  • Basım Tarihi: 2002
  • Doi Numarası: 10.1016/s1169-8330(02)00448-9
  • Dergi Adı: Revue du Rhumatisme (Edition Francaise)
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.1250-1252
  • Anahtar Kelimeler: Entrapment neuropathy, Hemophilia, Magnetic resonance imaging
  • Hacettepe Üniversitesi Adresli: Evet

Özet

A 15-year-old boy, with a diagnosis of hemophilia A, suffered bleeding into his left forearm 5 months before being admitted to our medical center. His neurological examination revealed a pronounced median neuropathy and a minor ulnar neuropathy on the left side. There was marked muscle atrophy on the thenar side and, to a lesser degree, on the hypothenar side and in the forearm. Electromyographic findings demonstrated an evident, nearly complete, sensorimotor axonal loss in the median nerve. Magnetic resonance imaging studies showed atrophy in muscles of the left forearm and median nerve. The patient was diagnosed as having median nerve axonotmesis and ulnar nerve neuropraxia due to compartment syndrome. In hemophiliac patients, frequent single nerve compressions (often involving the femoral nerve) can be seen. However, concomitant median and ulnar nerve injuries with differing severity are rare. © 2002 Éditions scientifiques et médicales Elsevier SAS.