{"id":515,"date":"2018-11-21T10:42:09","date_gmt":"2018-11-21T10:42:09","guid":{"rendered":"http:\/\/www.neuroecho.se\/?page_id=515"},"modified":"2019-02-18T16:25:11","modified_gmt":"2019-02-18T16:25:11","slug":"case-studies-median-nerve-carpal-tunnel-post-op","status":"publish","type":"page","link":"https:\/\/www.neuroecho.se\/sv\/case-studies-median-nerve-carpal-tunnel-post-op\/","title":{"rendered":"Case studies media Median nerve, Carpal tunnel post op"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"515\" class=\"elementor elementor-515 elementor-bc-flex-widget\" data-elementor-settings=\"[]\">\n\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-element elementor-element-b0e8776 elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"b0e8776\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a2dbcc elementor-column elementor-col-100 elementor-top-column\" data-id=\"6a2dbcc\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed1c616 elementor-widget elementor-widget-heading\" data-id=\"ed1c616\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Carpal tunnel post op<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4b67d4 elementor-widget elementor-widget-text-editor\" data-id=\"d4b67d4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, man 78 years old, diabetes. First preop exams concluded very pronounced carpal tunnel syndrome. No motor and sensory conduction velocity could be measured in the left hand. The right hand had very low amplitude signal with motor conduction velocity 33 m\/s, no measurable sensory signal.\u00a0<\/p><p>After bilateral carpal tunnel surgery there was\u00a0no symptom improvement and continued function diminishment in his right hand. A new exam was performed on the right hand only, wich concluded detirioration of the condition. This time with no measurable signals at all in the right hand.<\/p><p>Echoneurography confirmes bilateral carpal tunnel syndrome. Median nerve cross sectional area 24 mm2 on the right side and 16-17 mm2 on the left, immidiatly proximal to the carpal tunnel inlet. Normal value &lt;10 mm2. It also showes exactly the difference in post operative result, which you can see below.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5202570 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"5202570\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/bSp4nI2HXCQ?feature=oembed&amp;playlist=bSp4nI2HXCQ&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfbb3a9 elementor-widget elementor-widget-text-editor\" data-id=\"cfbb3a9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Clearly visible nerve swelling and a remaining marked compression by fibrous structure at proximal edge of the carpal tunnel. Imaging during dynamic test, finger flexion\/extention.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4296f78 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"4296f78\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/qQeDjYhQbd0?feature=oembed&amp;playlist=qQeDjYhQbd0&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3d3059 elementor-widget elementor-widget-text-editor\" data-id=\"a3d3059\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short to long axis in plane twist. Same arm.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf9fb60 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"bf9fb60\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/fqhFJMM-mOI?feature=oembed&amp;playlist=fqhFJMM-mOI&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-383c5dc elementor-widget elementor-widget-text-editor\" data-id=\"383c5dc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Opposite arm, same patient, same view.\u00a0Short to long axis in plane twist.\u00a0Minor residual compression. Much better post op result with accompanying symptom\u00a0improvement and confirming echoneurography findings.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-element elementor-element-4ffc38a elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-inner-section\" data-id=\"4ffc38a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f959ddd elementor-column elementor-col-50 elementor-inner-column\" data-id=\"f959ddd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f04b84b elementor-column elementor-col-50 elementor-inner-column\" data-id=\"f04b84b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-element elementor-element-1283bfc elementor-section-full_width elementor-hidden-desktop elementor-hidden-tablet elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"1283bfc\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca45e56 elementor-column elementor-col-100 elementor-top-column\" data-id=\"ca45e56\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7499118 elementor-widget elementor-widget-heading\" data-id=\"7499118\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Carpal tunnel post op<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-334596e elementor-widget elementor-widget-text-editor\" data-id=\"334596e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, man 78 years old, diabetes. First preop exams concluded very pronounced carpal tunnel syndrome. No motor and sensory conduction velocity could be measured in the left hand. The right hand had very low amplitude signal with motor conduction velocity 33 m\/s, no measurable sensory signal.<\/p><p>After bilateral carpal tunnel surgery there was\u00a0no symptom improvement and continued function diminishment in his right hand. A new exam was performed on the right hand only, wich concluded detirioration of the condition. This time with no measurable signals at all in the right hand.<\/p><p>Echoneurography confirmes bilateral carpal tunnel syndrome. Median nerve cross sectional area 24 mm2 on the right side and 16-17 mm2 on the left, immidiatly proximal to the carpal tunnel inlet. Normal value &lt;10 mm2. It also showes exactly the difference in post operative result, which you can see below.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3130dc elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"e3130dc\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/bSp4nI2HXCQ?feature=oembed&amp;playlist=bSp4nI2HXCQ&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b0c5df elementor-widget elementor-widget-text-editor\" data-id=\"2b0c5df\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Clearly visible nerve swelling and a remaining marked compression by fibrous structure at proximal edge of the carpal tunnel. Imaging during dynamic test, finger flexion\/extention.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19d84ca elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"19d84ca\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/qQeDjYhQbd0?feature=oembed&amp;playlist=qQeDjYhQbd0&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f922041 elementor-widget elementor-widget-text-editor\" data-id=\"f922041\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short to long axis in plane twist. Same arm.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2556640 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"2556640\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/fqhFJMM-mOI?feature=oembed&amp;playlist=fqhFJMM-mOI&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a01c286 elementor-widget elementor-widget-text-editor\" data-id=\"a01c286\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">Opposite arm, same patient, same view.\u00a0Short to long axis in plane twist. Minor residual compression. Much better post op result with accompanying symptom\u00a0improvement and confirming echoneurography findings.<\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f1985c elementor-widget elementor-widget-spacer\" data-id=\"2f1985c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Carpal tunnel post op Patient, man 78 years old, diabetes. First preop exams concluded very pronounced carpal tunnel syndrome. No motor and sensory conduction velocity could be measured in the left hand. The right hand had very low amplitude signal with motor conduction velocity 33 m\/s, no measurable sensory signal.\u00a0 After bilateral carpal tunnel surgery [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-515","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/comments?post=515"}],"version-history":[{"count":37,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/515\/revisions"}],"predecessor-version":[{"id":2288,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/515\/revisions\/2288"}],"wp:attachment":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/media?parent=515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}