Révélation d'un syndrome du canal carpien par ulcération digitale secondaire à un vasospasme artériel

Léger, Olivier; Lavallé, François

doi:10.1016/j.main.2004.11.007

Cited by 8 publications

(2 citation statements)

References 6 publications

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“…Araujo et al 6 describe a case in which profound sensory loss persisted although ulcers healed after CT release and argue that sensory loss alone cannot explain the ulceration. Leger and Lavalle 7 performed arteriography and demonstrated “vasospasm caused by the compression of the autonomic fibers of the median nerve.” The occurrence of Raynaud phenomenon in patients with CTS is also considered supportive of the role of vasospasm. 8 The importance of considering this form of CTS in the differential diagnosis of digital ulcers seen in other conditions such as scleroderma has been stressed by Carman and Ernesto.…”

Section: Discussionmentioning

confidence: 99%

Clinical Reasoning: A Septuagenarian With Painless Ulceration on the Fingertip

Iyer¹

2023

Neurology

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A 78-year-old non-diabetic non-smoker male presented with painless non-healing ulceration on the middle fingertip of the left hand. Similar episodes have occurred in the past involving the left middle and index fingers resulting in amputation of the tip of index finger. Diagnosis was arrived at by clinical reasoning and confirmed by additional investigations. The readers are presented with a rational step by step diagnostic paradigm in a very rare presentation of a common neurological disorder.

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Section: Discussionmentioning

confidence: 99%

Clinical Reasoning: A Septuagenarian With Painless Ulceration on the Fingertip

Iyer¹

2023

Neurology

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“…It creates vasomotor troubles in the hand and so, potentially, local thermic variations. It seems then that using infrared thermography is a good candidate to analyze these variations [26][27][28][29][30][31][32][33]. Furthermore, the carpal tunnel syndrome first injures the non myelinated nerve fibers and this type of fiber cannot be detected by an electromyogram, which can only find the myelin sheath of the neurons [34].…”

Section: Introductionmentioning

confidence: 99%

Detection of carpal tunnel syndrome by infrared thermography

Maxel¹,

Bodnar²,

Stubbe³

2014

Mechanics & Industry

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The aim of this study is to approach the possibilities of stimulated infrared thermography to the carpal tunnel syndrome diagnosis. Eleven patients were studied. Six of them were affected by the carpal tunnel syndrome. The five others were healthy. The study consists in exciting the patients' hands and in analyzing their thermal response. The infrared thermograms obtained show that the hands infected by the carpal tunnel syndrome give a different thermal response.

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