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[Postoperative outcomes after simultaneous surgery for cervical radiculopathy combined with distal peripheral nerve compression].
Zh Vopr Neirokhir Im N N Burdenko
December 2024
Irkutsk State Medical University, Irkutsk, Russia.
Unlabelled: To date, the optimal therapeutic and diagnostic strategy in patients with simultaneous clinical manifestations of degenerative cervical spine disease and upper-extremity nerve compression is still unclear.
Objective: To analyze the results of simultaneous surgical interventions in patients with cervical radiculopathy combined with distal peripheral compression-induced ischemic neuropathy.
Material And Methods: We retrospectively studied postoperative outcomes in 23 patients with two-level degenerative cervical spine disease with radiculopathy and peripheral nerve compression (cubital canal, Guyon's canal or carpal tunnel syndromes).
Double Crush Syndrome in the Lower Extremity: Simultaneous L5 Radiculopathy and Common Peroneal Nerve Compression.
World Neurosurg
December 2024
Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA.
Background: Double crush syndrome (DCS) is defined as multiple sites of compression along a single nerve. The combination of a compressive proximal lesion in the lumbar spine and a distal common peroneal nerve entrapment may result in compound nerve dysfunction.
Methods: A retrospective analysis of 100 patients who underwent common peroneal nerve decompression with a diagnosis of L5 radiculopathy between January 2000 and April 2023 at two quaternary academic institutions was performed.
Correction: Double entrapment neuropathy of the ulnar nerve at the elbow and the wrist: double crush syndrome?
BMC Musculoskelet Disord
August 2024
Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, 179, Gudeok-ro seo-gu, Busan, 49241, Republic of Korea.
Incidence and predictive factors of double crush syndrome in patients undergoing cervical surgery: a database study.
Eur Spine J
August 2024
Department of Orthopaedics, UC Davis Health, Sacramento, CA, USA.
Background: Double crush syndrome (DCS) is characterized by multiple compression sites along a single peripheral nerve. It commonly presents with persistent distal symptoms despite surgical treatment for cervical radiculopathy. Management typically involves nerve release of the most symptomatic site.
View Article and Find Full Text PDFDouble entrapment neuropathy of the ulnar nerve at the elbow and the wrist : double crush syndrome?
BMC Musculoskelet Disord
June 2024
Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, 179, Gudeok-ro seo-gu, Busan, 49241, Republic of Korea.
Article Synopsis
- Double crush syndrome occurs when a nerve is compressed in two locations, commonly affecting the ulnar nerve, and can be difficult to diagnose without specialized testing.
- In a study of eight patients with suspected ulnar nerve compression, most had a history of trauma, and while some underwent surgery, others received conservative treatment, with varying levels of improvement in hand function.
- The findings suggest that standard exams and EMG tests may not be sufficient for diagnosis, highlighting the importance of suspecting double crush syndrome when symptoms persist despite treatment.
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