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العنوان
A Clinical and Neurophysiological Study of Patients with Carpal Tunnel Syndrome before and after Palmar Release Operation /
الناشر
Sayed Sobhi Sayed Badawy,
المؤلف
Badawy, Sayed Sobhi Sayed.
هيئة الاعداد
باحث / Sayed Sobhi Sayed Badawy
مشرف / Adel Anwar Abdel-Aziz
مشرف / Amal Tawfik Mohamed
مشرف / Hanaa Sayed Soliman
الموضوع
Neurology . Psychiatry . Patients with Carpal Tunnel Syndrome.
تاريخ النشر
1997 .
عدد الصفحات
119 p .;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/1/1997
مكان الإجازة
جامعة المنيا - كلية الطب - Neurology and Psychiatry
الفهرس
Only 14 pages are availabe for public view

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from 152

Abstract

Aim of the work
To evaluate patients present with symptoms and signs suggestive of median nerve compression at the carpal tunnel including neurophysiological assessments. It also aims at evaluating the results of palmar incision release through clinical and neurophysiological parameters which might be of prognostic significance.
Conclusion
There were statistically significant improvements after two weeks. Most of the improvement took place over this period, as no significant difference was found between two weeks and two months follow up periods. And duration of complaint was the most significant predictor of the clinical picture.
from this study we concluded that electrodiagnostic studies must be done to every cause suspected to be carpal tunnel before operative interference, to exclude other cases of numbness in the hand and to be sure that the cause of the numbness is the CTS.
Early decompression is also advised as long standing compression has a bad prognosis and long period for recovery. However, severely affected cases (long standing symptoms, thenar atrophy, virtual anesthesia and absence of demonstrable sensory and motor evoked responses) must not be considered as contraindications to surgery.