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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 17 - 21 (5page)
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Selective fascicular involvement of median nerve in carpal tunnel syndrome (CTS) has been reported, such as predominant involvement of volar-radially located motor and sensory fibers to thumb. Also, recurrent motor branch (RMB) of median nerve could be affected separately. A man has suffered from right-hand weakness and mild tingling sense on I to III digits visited. Thenar muscles wasting and weakness were noted without sensory loss. Whereas the results of sensory conduction and comparison of median-second-lumbrical/ulnar-interossei studies suggested mild CTS, motor responses revealed severe neuropathy. The patient was diagnosed with right CTS, mild degree and concomitant incomplete but severe neuropathy of RMB. The patient underwent an operation. The RMB was found as the transligamentous type with a degenerative change and severely compressed by ligament and thenar muscles. Open carpal tunnel release and decompression with neurolysis were done. Through precise analysis of electrodiagnostic findings, correct diagnosis and proper management were achieved.
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