Surgical treatment of superimposed nerve compressions in hepatitis C neuropathy

Abstract

The plastic surgeon's usual involvement in patients with hepatitis C is most frequently limited to an inner city population with hand and forearm abscesses from intravenous drug use or to incidences of needle-stick injury in the operating room when the patient is hepatitis C positive. Hand surgeons and peripheral nerve surgeons often treat patients with underlying neuropathies who have superimposed overlying nerve compressions such as carpal tunnel syndrome. We have applied this experience to a patient with underlying peripheral neuropathy associated with Hepatitis C and clinical evidence of overlying lower extremity nerve compressions. We believe that she is the first successful surgical treatment of peripheral nerve compressions in a patient with hepatitis C-associated neuropathy, documented by noninvasive neurosensory testing.

Screening for Electrophysiological Abnormalities in Chronic Hepatitis C Infection: Peripheral Neuropathy and Optic Neuropathy

“…There was a positive correlation between the duration of the disease and the development of CTS. In one case report, a patient with hepatitis C neuropathy had undergone successful operations for superimposed nerve compressions (25). In a study conducted in the Amazon region, in a group comprising 78 HCV patients, the rate of CTS was 5.5%, while that of multiple mononeuropathies was 14.1% (26).…”

“…Arch Neuropsychiatr 2016; 53:[23][24][25][26][27] Köşkderelioğlu et al Electrophysiological study in Hepatitis C infection…”