Polyneuropathie und Engpasssyndrome

Zusammenfassung

Der folgende Artikel liefert ein Überblick über das gemeinsame Vorkommen von Polyneuropathien und Engpasssyndromen, vor allem dem Karpaltunnelsyndrom. Schwerpunkte sind die neurophysiologische Differenzierung von Engpasssyndromen bei gleichzeitiger Polyneuropathie und die Differenzialdiagnose zwischen einem Nervenkompressionssyndrom und einer Mononeuropathia multiplex bzw. einer multifokalen motorischen Neuropathie. Auch bei gleichzeitiger diabetischer Polyneuropathie lohnt sich eine Dekompressionsoperation eines Engpasssyndroms.

Summary

This articles summarizes the problems in patients suffering from a neuropathy as well as an entrapment syndrome, which is in most cases an carpal tunnel syndrome. Emphasis is put on the neurophysiological techniques used to diagnose an entrapment syndrome in those patients. In a new parameter, the delay above the lesion is described. In a second part, the differential diagnosis between an entrapment syndrome and a mononeuropathy multiplex and a multifocal motor neuropathy is given. In any case, also in patients suffering from a generalized neuropathy the surgery of the entrapment syndrome may be advantageous for the patient.

Schlüsselwörter

Polyneuropathie - Karpaltunnelsyndrom - Neurographie

Keywords

Polyneuropathy - carpal tunnel syndrome - neurography

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