Bilateral Martin-Gruber and Marinacci Anastomosis Associated with Carpal Tunnel and Guyon's Canal Syndrome: Case Report.

Q3 Health Professions
The Neurodiagnostic Journal Pub Date : 2022-09-01 Epub Date: 2022-08-18 DOI:10.1080/21646821.2022.2077053
María Alejandra Maya-González, David Ernesto Geney-Castro, Fabio Salinas-Durán
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引用次数: 1

Abstract

Anastomoses between the median and ulnar nerves are commonly found on electrodiagnostic studies. These anastomoses are usually asymptomatic and are not discovered until nerve injuries occur that lead to unusual motor or sensory deficits. Their presence can cause difficulties in the interpretation of electrophysiological findings for the diagnosis of neuropathies and suppose a risk of iatrogenic damage during surgical procedures. We describe a rare case of bilateral Martin Gruber and Marinacci anastomosis, associated with median and ulnar nerve injuries in the carpal tunnel and Guyon's canal, respectively. The detailed anatomical knowledge of these anastomosis allows the electromyographist to identify them correctly, facilitating the interpretation of the findings and, incidentally, preventing iatrogenic injuries.

双侧Martin-Gruber和Marinacci吻合伴腕管和Guyon管综合征1例报告。
正中神经和尺神经之间的吻合在电诊断研究中很常见。这些吻合通常是无症状的,直到神经损伤导致不寻常的运动或感觉缺陷才被发现。它们的存在会导致对神经病变诊断的电生理结果的解释困难,并在手术过程中存在医源性损伤的风险。我们描述了一个罕见的双侧Martin Gruber和Marinacci吻合病例,分别与腕管和Guyon管的正中神经和尺神经损伤有关。这些吻合的详细解剖知识使肌电描记师能够正确地识别它们,促进对发现的解释,顺便说一下,防止医源性损伤。
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来源期刊
The Neurodiagnostic Journal
The Neurodiagnostic Journal Health Professions-Medical Laboratory Technology
CiteScore
1.00
自引率
0.00%
发文量
26
期刊介绍: The Neurodiagnostic Journal is the official journal of ASET - The Neurodiagnostic Society. It serves as an educational resource for Neurodiagnostic professionals, a vehicle for introducing new techniques and innovative technologies in the field, patient safety and advocacy, and an avenue for sharing best practices within the Neurodiagnostic Technology profession. The journal features original articles about electroencephalography (EEG), evoked potentials (EP), intraoperative neuromonitoring (IONM), nerve conduction (NC), polysomnography (PSG), autonomic testing, and long-term monitoring (LTM) in the intensive care (ICU) and epilepsy monitoring units (EMU). Subject matter also includes education, training, lab management, legislative and licensure needs, guidelines for standards of care, and the impact of our profession in healthcare and society. The journal seeks to foster ideas, commentary, and news from technologists, physicians, clinicians, managers/leaders, and professional organizations, and to introduce trends and the latest developments in the field of neurodiagnostics. Media reviews, case studies, ASET Annual Conference proceedings, review articles, and quizzes for ASET-CEUs are also published in The Neurodiagnostic Journal.
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