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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.51 no.3 São Paulo Sept. 1993

http://dx.doi.org/10.1590/S0004-282X1993000300017 

Trophic ulcers in the carpal tunnel syndrome

 

Mal perfurante palmar e sindrome do túnel do carpo

 

 

Abelardo Q.-C. AraújoI; Henrique Barros NetoII; Henrique BulcãoII; Osvaldo J. M. NascimentoI

IDepartment of Internal Medicine (Neurology), Universidade Federal Fluminense, Niterói
IIHand Surgery Unit, Santa Casa de Misericórdia, Rio de Janeiro

 

 


SUMMARY

A patient with carpal tunnel syndrome (CTS) and trophic ulcers is described. Despite the healing of the ulcers after surgery for CTS, the severe sensory deficit and the electrophysiological tests have not shown any significant improvement. We think these findings argue against the hypothesis of the sensory deficit being responsible for the trophic ulcers. We favor a major role for the sympathetic disturbances as the main cause for those lesions.

Key words: median nerve, carpal tunnel syndrome, autonomic dysfunction


RESUMO

Relata-se o caso de paciente com sindrome do túnel do carpo (STC) de longa evolução que exibia mal perfurante palmar. Submetida a cirurgia descompressiva (epineurólise microcirúrgica do nervo mediano e tendossinovectomia) houve rápido desaparecimento das lesões cutâneas embora o déficit sensitivo e as alterações aos testes neurofisiológicos não revelassem melhora significativa. Acreditamos que estes achados falem contra a hipótese de que as graves alterações tróficas ocasionalmente encontradas nestes enfermos sejam consequentes ao severo déficit sensitivo. Tais anormalidades devem ser devidas à disfunção das fibras simpáticas do nervo mediano.

Palavras-chave: nervo mediano, sindrome do túnel do carpo, disfunção antônoma.


 

 

Full text available only in PDF format.

Texto completo disponível apenas em PDF.

 

 

REFERENCES

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8. Treves R, Arnauld JP, Benabbou M, Desproges-Gotteron R. Ulserations digitales au cours d'un syndrome du canal carpien avec syndrome de Raynaud. Rev Rhum 1980, 47:578-579.         [ Links ]

 

 

Dr. Abelardo de Queiroz-Campos Araújo — Rua Gildásio Amado 55/1011 - 22631-020 Rio de Janeiro RJ - Brasil.

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