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Clinical Study of Cervical Myeloradiculopathy with Carpal Tunnel Syndrome, Double Crush Syndrome Hiroyuki Nakase 1 , Jun-ichi Iida 1 , Ryosuke Matsuda 1 , Young-Su Park 1 , Toshisuke Sakaki 1 1Department of Neurosurgery, Nara Medical University Keyword: cervical spondylosis , entrapment neuropathy , carpal tunnel syndrome , double crash syndrome pp.883-887
Published Date 2005/10/1
DOI https://doi.org/10.11477/mf.1406100087
  • Abstract
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The hypothesis, “double crush syndrome (DCS)”, is that neural function could be impaired when single axons, having been compressed in one region, become especially susceptible to damage in another. We retrospectively review our surgical cases with both cervical lesion and carpal tunnel syndrome, i.e., DCS.

 From January 2001 to January 2005, we have treated 7 patients (Male-4, Female-3, average age-59.9 years old) under the diagnosis of DCS. Cervical lesions were cervical spondylosis in 4 and cervical narrow canal in 3 patients. Peripheral entrapment neuropathy was carpal tunnel syndrome in all 7 cases. Initial operation was performed for cervical lesion in 2, carpal tunnel syndrome in 2, and 3 cases were operated simultaneously. The improvement rate by Neurosurgical Cervical Spine Scale (NCSS) was average 65.8%. The average follow-up period was 18.2 months. Good results can be obtained in 5 cases, and poor results in 2 cases who underwent initial operation under the diagnosis of single lesion.

 It is well known that a discrepancy between neurological manifestation and neuro-imaging sometimes occurs in cervical lesions, and then DCS should be considered as a possible pathogenetic mechanism.

(Received : June 23, 2005)


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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