Hungarian Radiology

[Acute carpal tunnel syndrome after hyperventilation tetany]

JOSEF Böhm

OCTOBER 15, 2010

Hungarian Radiology - 2010;84(03)

[INTRODUCTION - Nerves show the same morphologic changes under compression. CASE REPORT - We describe the morphologic changes of the nerve in temporal course in an acute carpal tunnel syndrome after hyperventilation tetany. CONCLUSION - High-resolution sonography is suited for the imaging of peripheral nerve lesions.]

COMMENTS

0 comments

Further articles in this publication

Hungarian Radiology

[Radiation protection during diagnostic radiological examinations]

PELLET Sándor

Hungarian Radiology

[Our future]

LOMBAY Béla

Hungarian Radiology

[General meeting and election for new council members of the Society of Hungarian Radiologists - Kaposvár, 2nd July 2010]

LOMBAY Béla

Hungarian Radiology

[Pulmonary abnormalities in haematological malignancies - The role of imaging in differential]

GYŐRI Gabriella, MAGYAR Péter, KOVÁCS Balázs, BÉRCZI Viktor, BALASSA Katalin, DEMETER Judit

[Patients with hematological malignancies may develop a wide range of pulmonary abnormalities due to the hematological disease itself as well as in response to therapy. Immunosuppression and intensive chemotherapy induced severe neutropenia hold a high risk of infection. Infectionrelated morbidity and mortality are still high. One of the most common infectious complications is invasive mycosis, which is lethal in a high percentage of cases if not treated immediately and adequately. Non-infectious complications, such as secondary pulmonary lymphoma, thromboembolism, hemorrhage or drug induced fibrosis may develop during the course of the disease. Sometimes it is difficult to make a definitive diagnosis. As invasive methods (bronchoscopy, bronchoalveolar lavage, biopsy) are mostly contraindicated in these patients with severe neutropenia and thrombocytopenia, imaging techniques are especially important. It is a great challenge to differentiate infectious and noninfectious processes. CT and HRCT play an essential role in differential diagnosis. An early and accurate diagnosis is sometimes the only chance for survival.]

Hungarian Radiology

[Bases of pediatric radiology - Edited by dr. Éva Kis]

LOMBAY Béla

All articles in the issue

Related contents

Hungarian Radiology

[Supracondylar process syndrome]

PÓTA Zsuzsanna, HUSZANYIK István, KAZAI Sándor, RÓDE László

[INTRODUCTION - Supracondylar process is a rare bone over-growth of atavistic origin. The entity shows several similarities with the tunnel syndromes. CASE REPORT - The case reports originate from the diagnosis and the treatment of two female patients. Both of them presented with elbow region pain, weakness in finger flexion and numbness. The clinical picture, the decrease in the speed of nerve conduction in the region of the supracondylar process and radiological evidence of the process over-growth made the proper diagnosis possible in both cases. Due to the failure of conservative therapy both patients underwent surgery. Careful surgical removal of the process and neurolysis resulted in cessation of symptoms. CONCLUSION - Use of atypical radiographic positioning and flouroscopy might be required to achieve a diagnosis. In patients who do not respond to physiotherapy and local steroid injections, surgical removal of the supracondylar process is indicated which prevents further arterial and nerve degeneration.]

Clinical Neuroscience

[Ulcerative carpal tunnel syndrome]

KAMONDI Anita, TEIXEIRA Jose Maria, SZIRMAI Imre

[The carpal tunnel syndrome is the most frequent compression-induced neuropathy. A severe but rare clinical manifestation of this disorder associates with ulceration, acral osteo-lysis and mutilation of the terminal phalanges of the second and third fingers. Recognition of this disorder is difficult, because various dermatological and internal diseases might lead to acral ulcerative lesions, and these patients are seldom referred to neurological and/or electrodiagnostic examination. In this article, we present three cases of this rare clinical form of carpal tunnel syndrome and discuss the electrodiagnostic findings. The early diagnosis is important since decompression of the median nerve in due time might prevent mutilation and could significantly improve the patients’ quality of life.]

Clinical Neuroscience

[ULCERATIVE CARPAL TUNNEL SYNDROME]

KAMONDI Anita, TEIXEIRA Jose Maria, SZIRMAI Imre

[The carpal tunnel syndrome is the most frequent compression- induced neuropathy. A severe but rare clinical manifestation of this disorder associates with ulceration, acral osteolysis and mutilation of the terminal phalanges of the second and third fingers. Recognition of this disorder is difficult, because various dermatological and internal diseases might lead to acral ulcerative lesions, and these patients are seldom referred to neurological and/or electrodiagnostic examination. In this article, we present three cases of this rare clinical form of carpal tunnel syndrome and discuss the electrodiagnostic findings. The early diagnosis is important since decompression of the median nerve in due time might prevent mutilation and could significantly improve the patients’ quality of life.]