Türk Nöroşirürji Dergisi 2015 , Vol 25 , Num 1
A Young Case with Idiopathic Multiple Entrapment Neuropathy: Review of Differential Diagnosis and Literature
Ahmet EROĞLU1, Cem ATABEY2, Bülent DÜZ3, Ali Kıvanç TOPUZ4
1Van Asker Hastanesi, Beyin ve Sinir Cerrahisi Servisi, Van, Türkiye
2Diyarbakır Asker Hastanesi, Beyin ve Sinir Cerrahisi Servisi, Diyarbakır, Türkiye
3GATA Haydarpaşa Eğitim Hastanesi, Beyin ve Sinir Cerrahisi Servisi, İstanbul, Türkiye
4Baypark Hospital, Beyin ve Sinir Cerrahisi Servisi, İstanbul, Türkiye
Compression of peripheral nerves in fibroosseous tunnels that are placed in the passageway from a segment to another segment of the body is described as entrapment neuropathy. Entrapment neuropathies are clinically encountered in various manners with various occurrence mechanisms and histopathological, electrophysiological and prognostic properties. Etiologically, chronic recurrent trauma is blamed most commonly. Entrapment neuropathies can emerge just in one nerve but can also be encountered as multiple entrapment neuropathies including multiple nerves. Multiple entrapment neuropathies may be seen in genetic disorders, metabolic disorders, and systemic or infectious diseases. In this article, a 21-year-old male patient with entrapment neuropathy of the ulnar nerve in the cubital groove at elbow level, of the median nerve in the carpal tunnel at wrist level, and of the peroneal nerve at the fibular head level is presented. Electrophysiological findings of the patient were compatible with bilateral entrapment neuropathies, more pronounced on the right. Decompressive surgery at the elbow level was used for the right ulnar entrapment neuropathy that was symptomatic. Biopsies for pathological diagnosis were taken from connective tissue adjacent to the ulnar nerve and from the right sural nerve. This rarely seen case with non-hereditary multiple entrapment neuropathy was evaluated regarding possible etiological reasons and discussed in the light of literature. Anahtar Kelimeler : Multiple entrapment neuropathy, Decompressive surgery, Peripheral nerve