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Journal of Neurosurgical Sciences 1999 December;43(4):295-7

Copyright © 1999 EDIZIONI MINERVA MEDICA

lingua: Inglese

Ulnar nerve compression secondary to ulnar artery true aneurysm at Guyon’s canal

Yoshii S., Ikeda K., Murakami H.

Department of Orthopaedic Surgery, Kansai Denryoku Hospital, Fukushima 2-1-7, Fukushima-ku, Osaka, 553 Japan


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This arti­cle ­presents a ­case of ­ulnar ­nerve com­pres­sion at ­the Guyon’s ­canal ­caused by a ­true aneu­rysm of ­the ­ulnar ­artery sec­on­dary to ­blunt trau­ma. The dura­tion of fol­low-up ­was ­one ­year. Setting: Hospitalized ­care. A 27-­year-­old ­man ­who ­worked in an ­office ­fell on to a grav­el ­path land­ing on ­his out­stretched ­right ­hand. Decompression of ­the ­ulnar ­nerve ­was ­made by sim­ple liga­tion of ­the dam­aged ­artery ­and resec­tion of aneu­rysm. Measures: Histological exam­ina­tion. The sen­so­ry symp­toms dis­ap­peared ­two ­days ­after ­the oper­a­tion. At ­one ­year ­after sur­gery, ­the ­patient ­was com­plete­ly asymp­to­mat­ic. There ­was no resid­u­al ­cold intol­er­ance. Simple liga­tion of ­the dam­aged ­artery ­and resec­tion of aneu­rysm result­ed sat­is­fac­tor­y. It ­seemed to be a ­safe meth­od in ­this ­case. Ulnar ­nerve com­pres­sion ­due to a ­true aneu­rysm of ­the ­ulnar ­artery in ­the Guyon’s ­canal is rare­ly ­described in ­the lit­er­a­ture.

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