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| 장기 혈액 투석 환자에서 발생한 수근관 증후군 1 예 (A Case fo Carpal Tunnel Syndrome in Chronic Hemodialysis Parient) |
| 우제영 , 김용수 , 박인석 , 구완서 , 김석영 , 장윤식 , 윤영석 , 방병기 ( Je Young Woo , Yong Soo Kim , In Suk Park , Wan Suh Koo , Suk Young Kim , Young Sik Chang , Young Suk Yoon , Byung Kee Bang ) |
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| Abstract |
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Carpal tunnel syndrome (CTS) is a late complication of chronic hemodialysis. This complication results from the deposition of ?2-microglobulin as an amyloid-like substance. CTS results from entrapment of the medial nerve at the wrist. ?2-microglobulin deposits have been reported in bones, kidney, liver, bowels, and vasculature. We report here our experience with carpal tunnel syndrome in 47-year-old women treated exclusively with hemodialysis over a period of 14 years. She showed pain/paresthesia at night, weakness, burning pain in palm of right hand and right shoulder pain. Also, she showed decreased sensation to light touch and pin prick, positive Tinnels sign of the right hand. Nerve condnction studies showed an increased terminal latency of the right median nerve. Management of the carpal tunnel syndrome have not been altogether satistactory. Surgical decompression of the median nerve has been of the greatest benefit to patients with marked disability and pain from the carpal tunnel syndrome. A brief review of the literature was made. |
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