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首页> 外文期刊>Journal of Brachial Plexus and Peripheral Nerve Injury >A rare cause of forearm pain: anterior branch of the medial antebrachial cutaneous nerve injury: a case report
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A rare cause of forearm pain: anterior branch of the medial antebrachial cutaneous nerve injury: a case report

机译:前臂疼痛的罕见原因:臂前内侧皮神经损伤的前支:一例报告

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IntroductionMedial antebrachial cutaneous nerve (MACN) neuropathy is reported to be caused by iatrogenic reasons. Although the cases describing the posterior branch of MACN neuropathy are abundant, only one case caused by lipoma has been found to describe the anterior branch of MACN neuropathy in the literature. As for the reason for the forearm pain, we report the only case describing isolated anterior branch of MACN neuropathy which has developed due to repeated minor trauma.Case presentationWe report a 37-year-old woman patient with pain in her medial forearm and elbow following the shaking of a rug. Pain and symptoms of dysestesia in the distribution of the right MACN were found. Electrophysiological examination confirmed the normality of the main nerve trunks of the right upper limb and demonstrated abnormalities of the right MACN when compared with the left side. Sensory action potential (SAP) amplitude on the right anterior branch of the MACN was detected to be lower in proportion to the left. In the light of these findings, NSAI drug and physical therapy was performed. Dysestesia and pain were relieved and no recurrence was observed after a follow-up of 14 months.ConclusionMACN neuropathy should be taken into account for the differential diagnosis of the patients with complaints of pain and dysestesia in medial forearm and anteromedial aspect of the elbow.
机译:前言内侧前臂皮神经(MACN)神经病据报道是由医源性原因引起的。尽管描述MACN神经病后分支的病例很多,但文献中仅发现一例由脂肪瘤引起的描述MACN神经病前分支的病例。至于前臂疼痛的原因,我们报告了唯一一例描述了由于反复反复的轻微创伤而形成的孤立的MACN神经病性前支的病例。病例介绍我们报告了一名37岁的女性患者,其前臂内侧和肘部疼痛地毯的震动。在右侧MACN的分布中发现了痛觉障碍和痛觉障碍。电生理检查证实右上肢主要神经干正常,与左侧相比显示右侧MACN异常。检测到MACN右前分支上的感觉动作电位(SAP)幅度与左侧成比例降低。根据这些发现,进行了NSAI药物和物理疗法。术后14个月的随访结果显示,消化不良和疼痛得以缓解,并且未见复发。

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