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KMID : 0361420100340040475
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Journal of Korean Academy of Rehabilitation Medicine
2010 Volume.34 No. 4 p.475 ~ p.479
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Cases Report of Carpal Tunnel Syndrome in Two Patients with Dyskinetic Cerebral Palsy - Two cases report -
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Park Sung-Hee
Son Soo-yon
Han Sang-Hyoung
Ko Myoung-Hwan
Seo Jeong-Hwan
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Abstract
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Carpal tunnel syndrome (CTS) is the most frequent entrapment mono-neuropathy, a pressure-induced neuropathy of the median nerve at the wrist. Two patients with dyskinetic cerebral palsy presented tingling sense of bilateral hands and marked flattening of both thenar eminences. In two patients, the involuntary dystonic muscle contractions kept the wrist position in hyperextension or more frequently, in hyperflexion with ulnar deviation and finger in flexion strongly. We performed careful history taking and physical examination, and then diagnosed bilateral carpal tunnel syndrome in two patients through medical workup including electromyography and ultrasonography. In this report, we present these cases and discuss their physiopathology.
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KEYWORD
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Dyskinetic cerebral palsy, Carpal tunnel syndrome, Wrist position
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