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Journal of the Korean Academy of Rehabilitation Medicine 2010;34(4):475-479.
Cases Report of Carpal Tunnel Syndrome in Two Patients with Dyskinetic Cerebral Palsy: Two cases report.
Park, Sung Hee , Son, Soo Youn , Han, Sang Hyoung , Ko, Myoung Hwan , Seo, Jeong Hwan
Department of Physical Medicine and Rehabilitation, Institute for Medical Sciences and Research Institute of Clinical Medicine, Chonbuk National University Medical School, Korea. apollon80@nate.com
이상운동형 뇌성마비 환자에서의 수근관 증후군 2예 −증례 보고−
박성희, 손수연, 한상형, 고명환, 서정환
전북대학교 의학전문대학원 재활의학교실, 의과학연구소 및 임상의학연구소
Abstract
Carpal tunnel syndrome (CTS) is the most frequent entrapment mono-neuropathy, a pressure-induced neuropathy of the median nerve at the wrist. Two patients with dyskinetic cerebral palsy presented tingling sense of bilateral hands and marked flattening of both thenar eminences. In two patients, the involuntary dystonic muscle contractions kept the wrist position in hyperextension or more frequently, in hyperflexion with ulnar deviation and finger in flexion strongly. We performed careful history taking and physical examination, and then diagnosed bilateral carpal tunnel syndrome in two patients through medical workup including electromyography and ultrasonography. In this report, we present these cases and discuss their physiopathology. (J Korean Acad Rehab Med 2010; 34: 475-479)
Key Words: Dyskinetic cerebral palsy, Carpal tunnel syndrome, Wrist position


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