Supercharged End-to-Side Anterior Interosseous to Ulnar Motor Nerve Transfer for Hirayama Disease: A Case Report
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- Aleixo Abreu Tanure
- Santa Casa de Misericórdia da Bahia, Salvador, Bahia, Brazil
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- Luis Guilherme Rosifini Alves Rezende
- University of São Paulo, Brazil
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- Ana Carolina Pazim
- Santa Casa de Misericórdia da Bahia, Salvador, Bahia, Brazil
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- Marcel Leal Ribeiro
- Santa Casa de Misericórdia da Bahia, Salvador, Bahia, Brazil
抄録
<jats:p> Hirayama disease is a rare condition of cervical myelopathy. Its early identification and correction can optimize functional outcomes. However, late presentation and some more severe cases may be associated with loss of hand function. Among the cases described, there are no reports of nerve transfers for this condition. We presented the first case report of a Hirayama disease of isolated ulnar nerve impairment managed with nerve transfer. Electroneuromyography showed isolated preganglionic involvement of C7, C8, and T1, with no sensory changes. The patient underwent nerve transfer with anterior interosseous nerve to ulnar nerve supercharge end-to-side, recovering hand function in 7 months. </jats:p>
収録刊行物
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- HAND
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HAND 17 (4), NP12-NP16, 2021-12-28
SAGE Publications