However, complete surgical excision is indicated and curative when pain, impaired hand function, compression neuropathy
, anxiety or cosmetic concern is present.
Fred, "Chloroma of the forearm: a case report of leukemia recurrence presenting with compression neuropathy
and tenosynovitis," Iowa Orthopaedic Journal, vol.
Based on our case and review of literature, we feel that any case of a neuropathy of the foot in the absence of any obvious evidence of lumbar radiculopathy or a compression neuropathy
needs to be investigated further.
Although ganglionic cysts are very common lesions, they may rarely cause compression neuropathy
. In the upper extremities, ganglia have been described to cause compression of the ulnar nerve in Guyon's canal, in the cubital tunnel or of the median nerve at the carpal tunnel.
(49,50) Any patient with signs and symptoms of a compression neuropathy
and supportive findings on physical exam should be referred for electrodiagnostic testing and/or to a surgeon specializing in treating these conditions.
The correct clinical name is Median Nerve Compression Neuropathy
. According to the AMA Physicians Guide to Return to Work, "CTS is actually a condition with known pathology and not a syndrome, but the name carpal tunnel syndrome has become so well known that CTS is used rather than median nerve compression neuropathy
Isolated compression neuropathy
of the palmar cutaneous branch of the median nerve.
In the development of a compression neuropathy
, both ischemic and mechanical factors have a role .
Miller, "Conduction block in compression neuropathy
: recognition and quantification," Muscle and Nerve, vol.
In such situation even minor nerve entrapment can lead to clinically expressed compression neuropathy
with nerve conduction velocity compromise, sensory disturbances, pain and other complaints.
The lesion is almost always seen during the first three decades of life, usually presenting with increasing pain, diminished sensation or paresthesia associated with a gradually enlarging mass causing compression neuropathy
"Carpal Tunnel Syndrome (CTS) is a common compression neuropathy
of the median nerve associated with many conditions including diabetes."