Clinical features of wrist drop caused by compressive radial neuropathy and its anatomical considerations.

Abstract:

OBJECTIVE:Posture-induced radial neuropathy, known as Saturday night palsy, occurs because of compression of the radial nerve. The clinical symptoms of radial neuropathy are similar to stroke or a herniated cervical disk, which makes it difficult to diagnose and sometimes leads to inappropriate evaluations. The purpose of our study was to establish the clinical characteristics and diagnostic assessment of compressive radial neuropathy. METHODS:Retrospectively, we reviewed neurophysiologic studies on 25 patients diagnosed with radial nerve palsy, who experienced wrist drop after maintaining a certain posture for an extended period. The neurologic presentations, clinical prognosis, and electrophysiology of the patients were obtained from medical records. RESULTS:Subjects were 19 males and 6 females. The median age at diagnosis was 46 years. The right arm was affected in 13 patients and the left arm in 12 patients. The condition was induced by sleeping with the arms hanging over the armrest of a chair because of drunkenness, sleeping while bending the arm under the pillow, during drinking, and unknown. The most common clinical presentation was a wrist drop and paresthesia on the dorsum of the 1st to 3rd fingers. Improvement began after a mean of 2.4 weeks. Electrophysiologic evaluation was performed after 2 weeks that revealed delayed nerve conduction velocity in all patients. CONCLUSION:Wrist drop is an entrapment syndrome that has a good prognosis within several weeks. Awareness of its clinical characteristics and diagnostic assessment methods may help clinicians make diagnosis of radial neuropathy and exclude irrelevant evaluations.

journal_name

J Korean Neurosurg Soc

authors

Han BR,Cho YJ,Yang JS,Kang SH,Choi HJ

doi

10.3340/jkns.2014.55.3.148

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

148-51

issue

3

eissn

2005-3711

issn

1598-7876

journal_volume

55

pub_type

杂志文章
  • Initial Experience of ACE68 Reperfusion Catheter in Patients with Acute Ischemic Stroke Related to Internal Carotid Artery Occlusion.

    abstract:OBJECTIVE:Penumbra ACE68 reperfusion catheter is a new large bore aspiration catheter used for reperfusion of large vessel occlusion. The objective of this study was to investigate the efficacy of this catheter in comparison to that of previous Penumbra catheters in patients with acute ischemic stroke related to intern...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2019.0108

    authors: Jang HG,Park JS,Lee JM,Kwak HS

    更新日期:2019-09-01 00:00:00

  • Long Term Efficacy of Posterior Lumbar Interbody Fusion with Standard Cages alone in Lumbar Disc Diseases Combined with Modic Changes.

    abstract:OBJECTIVE:Posterior lumbar interbody fusion (PLIF) is considered to have the best theoretical potential in promoting bony fusion of unstable vertebral segments by way of a load sharing effect of the anterior column. This study was undertaken to investigate the efficacy of PLIF with cages in chronic degenerative disc di...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2009.46.4.322

    authors: Kwon YM,Chin DK,Jin BH,Kim KS,Cho YE,Kuh SU

    更新日期:2009-10-01 00:00:00

  • Predictive Factors for Recurrence after Burr-Hole Craniostomy of Chronic Subdural Hematoma.

    abstract:Objective:Chronic subdural hematoma is a common and relatively benign disease. However, recurrence is common after surgical treatment, and the recurrence rate varies from 5% to 33%. The aim of this study was to investigate the predictive factors for recurrence of chronic subdural hematoma. Methods:We analyzed data fro...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.1010.003

    authors: Kim SU,Lee DH,Kim YI,Yang SH,Sung JH,Cho CB

    更新日期:2017-11-01 00:00:00

  • Efficacy of decompression and fixation for metastatic spinal cord compression: analysis of factors prognostic for survival and postoperative ambulation.

    abstract:OBJECTIVE:The goals of surgical intervention for metastatic spinal cord compression (MSCC) are prolonging survival and improving quality of life. Non-ambulatory paraplegic patients, either at presentation or after treatment, have a much shorter life expectancy than ambulatory patients. We therefore analyzed prognostic ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.50.5.434

    authors: Park JH,Rhim SC,Jeon SR

    更新日期:2011-11-01 00:00:00

  • Cerebellar hemorrhage after burr hole drainage of supratentorial chronic subdural hematoma.

    abstract::Cerebellar hemorrhage is an unusual complication of supratentorial neurosurgery. To the best of our knowledge, only three case reports have described the occurrence of cerebellar hemorrhage after burr hole drainage for the treatment of chronic subdural hematoma (SDH). We present the case of a patient with this rare po...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.46.6.592

    authors: Chang SH,Yang SH,Son BC,Lee SW

    更新日期:2009-12-01 00:00:00

  • Reduction of Inflammation and Enhancement of Motility after Pancreatic Islet Derived Stem Cell Transplantation Following Spinal Cord Injury.

    abstract:OBJECTIVE:Spinal cord injury (SCI) is a very serious health problem, usually caused by a trauma and accompanied by elevated levels of inflammation indicators. Stem cell-based therapy is promising some valuable strategies for its functional recovery. Nestinpositive progenitor and/or stem cells (SC) isolated from pancrea...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2018.0035

    authors: Karaoz E,Tepekoy F,Yilmaz I,Subasi C,Kabatas S

    更新日期:2019-03-01 00:00:00

  • Atypical choroid plexus papilloma in an adult.

    abstract::We present an extremely rare case of the atypical choroid plexus papilloma in an adult which developed at the trigone of right lateral ventricle. A 62-year-old woman presented with the history of intermittent and gradually progressive headache and left side hemiparesis for 6 months. The brain magnetic resonance image ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.46.1.74

    authors: Lee SH,Park BJ,Kim EJ,Lim YJ

    更新日期:2009-07-01 00:00:00

  • Do Trunk Muscles Affect the Lumbar Interbody Fusion Rate?: Correlation of Trunk Muscle Cross Sectional Area and Fusion Rates after Posterior Lumbar Interbody Fusion Using Stand-Alone Cage.

    abstract:OBJECTIVE:Although trunk muscles in the lumbar spine preserve spinal stability and motility, little is known about the relationship between trunk muscles and spinal fusion rate. The aim of the present study is to evaluate the correlation between trunk muscles cross sectional area (MCSA) and fusion rate after posterior ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.3.276

    authors: Choi MK,Kim SB,Park BJ,Park CK,Kim SM

    更新日期:2016-05-01 00:00:00

  • Critical use of balloon angioplasty after recanalization failure with retrievable stent in acute cerebral artery occlusion.

    abstract:OBJECTIVE:Sudden major cerebral artery occlusion often resists recanalization with currently available techniques or can results in massive symptomatic intracranial hemorrhage (sICH) after thrombolytic therapy. The purpose of this study was to examine mechanical recanalization with a retrievable self-expanding stent an...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2013.53.2.77

    authors: Park JH,Park SK,Jang KS,Jang DK,Han YM

    更新日期:2013-02-01 00:00:00

  • Surgical treatment of craniovertebral junction instability : clinical outcomes and effectiveness in personal experience.

    abstract:OBJECTIVE:Craniovertebral junction (CVJ) consists of the occipital bone that surrounds the foramen magnum, the atlas and the axis vertebrae. The mortality and morbidity is high for irreducible CVJ lesion with cervico-medullary compression. In a clinical retrospective study, the authors reviewed clinical and radiographi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.48.1.37

    authors: Song GC,Cho KS,Yoo DS,Huh PW,Lee SB

    更新日期:2010-07-01 00:00:00

  • Straight-Forward versus Bicortical Fixation Penetrating Endplate in Lumbosacral Fixation-A Biomechanical Study.

    abstract:OBJECTIVE:Many lumbosacral fixation techniques have been described to offer a more screw-bone purchase. The forward anatomical fixation parallel to the endplate is still the most preferred method. Literature revealed little knowledge regarding the mechanical stability of lumbosacral trans-endplate fixation compared to ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2017.0404.004

    authors: Karakasli A,Acar N,Uzun B

    更新日期:2018-03-01 00:00:00

  • Quantitative analysis of developmental process of cranial suture in korean infants.

    abstract:OBJECTIVE:The purpose of this study was to elucidate the anatomical development of physiologic suture closure processes in infants using three dimensional reconstructed computed tomography (CT). METHODS:A consecutive series of 243 infants under 12 months of age who underwent three dimensional CT were included in this ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.51.1.31

    authors: Sim SY,Yoon SH,Kim SY

    更新日期:2012-01-01 00:00:00

  • Angiographic and Clinical Factors Related with Good Functional Outcome after Mechanical Thrombectomy in Acute Cerebral Artery Occlusion.

    abstract:OBJECTIVE:The aim of this study is to investigate good prognostic factors for an acute occlusion of a major cerebral artery using mechanical thrombectomy. METHODS:Between January 2013 to December 2014, 37 consecutive patients with acute occlusion of a major cerebral artery treated by mechanical thrombectomy with stent...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.3.192

    authors: Park JH,Han YM,Jang KS,Yoon WS,Jang DK,Park SK

    更新日期:2015-09-01 00:00:00

  • A solitary skull lesion of syphilitic osteomyelitis.

    abstract::We experienced a rare case of solitary syphilitic osteomyelitis of the skull without any other clinical signs or symptoms of syphilis. A 20-year-old man was referred due to intermittent headache and mild tenderness at the right parietal area of the skull with a palpable coin-sized lesion of softened cortical bone. On ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.1.85

    authors: Kang SH,Park SW,Kwon KY,Hong WJ

    更新日期:2010-07-01 00:00:00

  • The Neuroprotective Effect of Kefir on Spinal Cord Ischemia/Reperfusion Injury in Rats.

    abstract:OBJECTIVE:The main causes of spinal cord ischemia are a variety of vascular pathologies causing acute arterial occlusions. We investigated neuroprotective effects of kefir on spinal cord ischemia injury in rats. METHODS:Rats were divided into three groups : 1) sham operated control rats; 2) spinal cord ischemia group ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.57.5.335

    authors: Guven M,Akman T,Yener AU,Sehitoglu MH,Yuksel Y,Cosar M

    更新日期:2015-05-01 00:00:00

  • Use of the sundt clip graft in a previously coiled internal carotid artery blister-like aneurysm.

    abstract::Owing to the focal wall defect covered with thin fibrous tissues, an aneurysm arising from the dorsal wall of the internal carotid artery (ICA) is difficult to manage either surgically or endovascularly and is often associated with high morbidity and mortality. Unfortunately, the definitive treatment modality of such ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.56.6.496

    authors: Cho JI,Cho JH

    更新日期:2014-12-01 00:00:00

  • Delayed Retroperitoneal Hemorrhage due to Lumbar Artery Pseudoaneurysm after Lumbar Posterolateral Fusion.

    abstract::A 55-year-old female patient presented with lower back pain and neurogenic intermittent claudication and underwent L3-L4 posterolateral fusion. To prepare the bone fusion bed, the transverse process of L3 and L4 was decorticated with a drill. On the 9th post-operative day, the patient complained of a sudden onset of s...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2013.54.4.344

    authors: Oh YM,Choi HY,Eun JP

    更新日期:2013-10-01 00:00:00

  • Fusiform aneurysm presenting with cervical radiculopathy in ehlers-danlos syndrome.

    abstract::Ehlers-Danlos syndrome (EDS) type IV is characterized by its clinical manifestations, which are easy bruising, thin skin with visible veins, and rupture of arteries, uterus, or intestines. Arterial complications are the leading cause of death in vascular EDS because they are unpredictable and surgical repair is diffic...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.6.528

    authors: Kim HS,Choi CH,Lee TH,Kim SP

    更新日期:2010-12-01 00:00:00

  • Anatomical Variants of "Short Head of Biceps Femoris Muscle" Associated with Common Peroneal Neuropathy in Korean Populations : An MRI Based Study.

    abstract:Objective:In Asians, kneeling and squatting are the postures that are most often induce common peroneal neuropathy. However, we could not identify a compatible compression site of the common peroneal nerve (CPN) during hyper-flexion of knees. To evaluate the course of the CPN at the popliteal area related with compress...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2018.0018

    authors: Yang J,Cho Y,Cho J,Choi H,Jeon J,Kang S

    更新日期:2018-07-01 00:00:00

  • Staging in vestibular schwannoma surgery: a modified technique.

    abstract::The authors herein propose the staged excision as a novel strategy to preserve facial nerve and minimize complication during microsurgery of large vestibular schwannoma (VS). At the first stage, for reducing mass effect on the brain stem and cerebellum, subtotal tumor resection was performed via a retrosigmoid craniot...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2008.43.1.57

    authors: Kim E,Nam SI

    更新日期:2008-01-01 00:00:00

  • Direct lateral lumbar interbody fusion: clinical and radiological outcomes.

    abstract:OBJECTIVE:According to the recent development of minimally invasive spinal surgery, direct lumbar interbody fusion (DLIF) was introduced as an effective option to treat lumbar degenerative diseases. However, comprehensive results of DLIF have not been reported in Korea yet. The object of this study is to summarize radi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2014.55.5.248

    authors: Lee YS,Park SW,Kim YB

    更新日期:2014-05-01 00:00:00

  • Posterior atalntoaxial fusion with c1 lateral mass screw and c2 pedicle screw supplemented with miniplate fixation for interlaminar fusion : a preliminary report.

    abstract:OBJECTIVE:To investigate the feasibility of C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion to treat various atlantoaxial instabilities. METHODS:After posterior atlantoaxial fixation with lateral mass screw in the atlas and pedicle scre...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.52.2.120

    authors: Yoon SM,Baek JW,Kim DH

    更新日期:2012-08-01 00:00:00

  • Neuromyelitis optica mimicking intramedullary tumor.

    abstract::Neuromyelitis optica (NMO) is considered to be a rarer autoimmune disease than multiple sclerosis. It is very difficult to make a diagnosis of MNO for doctors who are not familiar with its clinical features and diagnostic criteria. We report a case of a young female patient who had been suffering motor weakness and ra...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2013.53.5.316

    authors: Oh SH,Yoon KW,Kim YJ,Lee SK

    更新日期:2013-05-01 00:00:00

  • Rabbit Model for in vivo Study of Intervertebral Disc Degeneration and Regeneration.

    abstract:OBJECTIVE:The purpose of this study is to verify the usefulness of the rabbit model for disc degeneration study. MATERIALS:The L1-L2, L2-L3, L3-L4, or L4-L5 lumbar intervertebral disc (IVD) of 9 mature male New Zealand White rabbits were injured by inserting a 16-gauge needle to a depth of 5 mm in the left anterolater...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.5.327

    authors: Kong MH,Do DH,Miyazaki M,Wei F,Yoon SH,Wang JC

    更新日期:2008-11-01 00:00:00

  • Progressive manifestations of reversible cerebral vasoconstriction syndrome presenting with subarachnoid hemorrhage, intracerebral hemorrhage, and cerebral infarction.

    abstract::Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by sudden-onset headache with focal neurologic deficit and prolonged but reversible multifocal narrowing of the distal cerebral arteries. Stroke, either hemorrhagic or ischemic, is a relatively frequent presentation in RCVS, but progressive manifest...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.56.5.419

    authors: Choi KS,Yi HJ

    更新日期:2014-11-01 00:00:00

  • Endoscopic Spine Surgery.

    abstract::Surgical treatment of the degenerative disc disease has evolved from traditional open spine surgery to minimally invasive spine surgery including endoscopic spine surgery. Constant improvement in the imaging modality especially with introduction of the magnetic resonance imaging, it is possible to identify culprit deg...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2017.0203.004

    authors: Choi G,Pophale CS,Patel B,Uniyal P

    更新日期:2017-09-01 00:00:00

  • A Lower T1 Slope as a Predictor of Subsidence in Anterior Cervical Discectomy and Fusion with Stand-Alone Cages.

    abstract:OBJECTIVE:Preoperative parameters including the T1 slope (T1S) and C2-C7 sagittal vertical axis (SVA) have been recognized as predictors of kyphosis after laminoplasty, which is accompanied by posterior neck muscle damage. The importance of preoperative parameters has been under-estimated in anterior cervical discectom...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2017.0404.001

    authors: Lee SH,Lee JS,Sung SK,Son DW,Lee SW,Song GS

    更新日期:2017-09-01 00:00:00

  • Multimodal therapy for patients with acute ischemic stroke : outcomes and related prognostic factors.

    abstract:OBJECTIVE:The objectives of this study were to analyze the recanalization rates and outcomes of multimodal therapy that consisted of sequential intravenous (IV)/intra-arterial (IA) thrombolysis, mechanical thrombolysis including mechanical clot disruption using microcatheters and microwires, balloon angioplasty, and st...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2009.45.6.360

    authors: Jeong SY,Park SS,Koh EJ,Eun JP,Choi HY

    更新日期:2009-06-01 00:00:00

  • Gastric mucosa-associated lymphoid tissue lymphoma followed by primary central nervous system lymphoma.

    abstract::Mucosa-associated lymphoid tissue (MALT) lymphoma is one of the most common lymphomas and accounts for about 7% of all newly diagnosed non-Hodgkin's lymphoma (NHL). The clinical course of MALT lymphoma is relatively indolent and, in the majority of cases (50%), the lymphoma arises within the stomach. Primary central n...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.51.6.377

    authors: Eom KS,Park MR,Choi KH,Kim TY

    更新日期:2012-06-01 00:00:00

  • Morphometric Study of the Lumbar Posterior Longitudinal Ligament.

    abstract:Objective:Morphometric data for the lumbar posterior longitudinal ligament (PLL) was investigated to identify whether there is a difference in the morphometry of the PLL of the lumbar spine at each level with respect to the pattern of intervertebral disc displacement. Methods:In 14 formalin-fixed adult cadavers (12 ma...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2017.0257

    authors: Lee SB,Chang JC,Lee GS,Hwang JC,Bae HG,Doh JW

    更新日期:2018-01-01 00:00:00