Open AccessComparision between the clinical and surgical treatment in carpal tunel syndrome by means of electrophysiological analysis
Author(s) -
Fábio V. C. Sparapani,
Paulo Henrique Pires de Aguiar,
Carlos Alexandre Martins Zicarelli,
Mário H. Hirata,
Antônio Tedesco-Marchese,
Manoel Jacobsen Teixeira
Publication year - 2018
Publication title -
jornal brasileiro de neurocirurgia
Language(s) - English
Resource type - Journals
eISSN - 2446-6786
pISSN - 0103-5118
DOI - 10.22290/jbnc.v17i2.1607
Subject(s) - carpal tunnel syndrome , medicine , retinaculum , surgery , median nerve , weakness , anesthesia , wrist
The carpal tunel syndrome in the most common of the compression syndromes. It is characterized by pain, weakness of fine movements and paresthesias in the first four fingers of the hand. Diagnosis is confirmed by neurological examination and recently the electroneuromiography (ENMG) is useful to define prognosis. Objective: The authors analysed 33 patients, both fistis presenting with carpal tunnel syndrome, by means of electrophysiological studies in order to compare the clinical and surgical treatment. Casuistics and method: Twenty five patients (42 hands) were successfully submitted to clinical treatment and 16 patients (18 hands) were submitted to surgical treatment. The clinical treatment consisted in immobilization, pyridoxine administration and eventually antiinflammatory drugs for a three-months stipulated period. The surgical treatment consisted in complete longitudinal section of transverse carpal retinaculum and recovery was analysed electrophysiologically by means of ENMG before and over 3 months after treatment. In the non-surgical group, sensitive velocity increased in most of the patients, however amplitudes had overall no changes. Conclusion: Surgical treatment accelerates recovery in all aspects of electrophysiological anlysis corresponding to neurological recovery. ENMG should be also advocated in the cases of absence and/or slow recovery.