Turk Neurosurg
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Case Reports
Idiopathic bilateral trigeminal neuralgia treated by bilateral microvascular decompression.
Idiopathic trigeminal neuralgia is the most common type of cranial neuralgia. Trigeminal neuralgia is a form of facial pain characterized by proximal lancinating pain confined to the somatosensory distribution of the trigeminal nerve. ⋯ Microvascular decompression for treatment trigeminal neuralgia is an effective and relatively safe method in older patients. We report a rare case of bilateral trigeminal neuralgia treated by bilateral microvascular decompression.
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The aim of this clinical study was to evaluate the benefits of ultrasonographic imaging in the surgical treatment of upper extremity peripheral nerve lesions. ⋯ Preoperative and intraoperative ultrasonography for upper extremity peripheral nerve lesions may be used in the description of the degree of injury, determination of complete or incomplete nerve sectioning, the presence of hematoma and foreign body, the continuity of the nerve, determination of nerve stumps and perilesional scar tissue, and the presence of neuroma.
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Tarsal tunnel syndrome (TTS) is defined as the entrapment of the posterior tibial nerve in the tarsal tunnel of the ankle. The etiologies of tarsal tunnel syndrome are mainly the presence of a ganglion, osseous prominence with tarsal bone coalition, trauma, varicose veins, neurinoma, hypertrophy of the flexor retinaculum, or systemic disease (rheumatoid arthritis, ankylosing spondylitis). However, no specific cause can be identified in some cases. ⋯ Diagnosis is made primarily by electroneuromyographic studies and physical examination. Surgery is the treatment of choice and the outcome is generally favourable. In this report, we present a patient with tarsal tunnel syndrome complicating peritoneal dialysis.