1.Growing Skull Fracture in the Primary Motor Cortex in a 50-day-old Child:A Case Report
Korean Journal of Neurotrauma 2020;16(2):278-283
Growing skull fracture (GSF) is a rare complication of skull fracture in children. We report a case of GSF, also known as leptomeningeal cyst with significant damage in the motor cortex in a 50-day-old child, but the motor function was preserved. A 50-day-old male baby visited our hospital after trauma in the left side of the head. His level of consciousness and motor function were normal. Brain computed tomography (CT) scan revealed gapped skull fracture of the left parietal lobe with underlying contusion and subdural hemorrhage. Duringc hospitalization, bulging in the left parietal scalp had progressed, and follow-up magnetic resonance imaging revealed increased skull defect with enlarged leptomeningeal cyst at the left motor cortex. Cranioplasty and duroplasty were performed. Intraoperatively, a dura tear, brain tissue herniation and fluid collection around the motor cortex were observed. One-year follow-up CT revealed cystic encephalomalacia in the left motor cortex. During the 30-month follow-up, nearly normal gross motor function was observed except for few fine motor impairments. We report a case of GSF with significant damage on the motor cortex in an early infant, but with the preserved motor function during the postoperative developmental process.
2.Refining the Diagnosis and Treatment of Cubital Tunnel Syndrome: A Comprehensive Review of Anatomy and Surgical Approaches
Suhmi CHUNG ; Inkyeong KIM ; Choonghyo KIM
The Nerve 2024;10(2):71-79
Cubital tunnel syndrome (CuTS) is a prevalent but often under-recognized compressive neuropathy of the upper extremities, involving the entrapment of the ulnar nerve within the cubital tunnel at the elbow. CuTS is common, but remains relatively unfamiliar to many neurosurgeons compared to other neuropathies. It frequently presents with sensory disturbances and motor deficits in the hand, particularly affecting the ulnar digits, and it may be linked to specific usage patterns or even considered a form of neurotrauma. Its diagnosis typically involves a clinical assessment supplemented by imaging and electrophysiological studies to evaluate the extent of nerve involvement. While conservative management may be sufficient in the early stages, surgical intervention is often necessary for advanced cases, and various techniques offer differing outcomes. This review underscores the importance of a thorough anatomical understanding in guiding an accurate diagnosis and effective treatment, ultimately contributing to improved patient outcomes. These insights are essential for clinicians encountering the complexities of CuTS in diverse clinical scenarios.
3.Refining the Diagnosis and Treatment of Cubital Tunnel Syndrome: A Comprehensive Review of Anatomy and Surgical Approaches
Suhmi CHUNG ; Inkyeong KIM ; Choonghyo KIM
The Nerve 2024;10(2):71-79
Cubital tunnel syndrome (CuTS) is a prevalent but often under-recognized compressive neuropathy of the upper extremities, involving the entrapment of the ulnar nerve within the cubital tunnel at the elbow. CuTS is common, but remains relatively unfamiliar to many neurosurgeons compared to other neuropathies. It frequently presents with sensory disturbances and motor deficits in the hand, particularly affecting the ulnar digits, and it may be linked to specific usage patterns or even considered a form of neurotrauma. Its diagnosis typically involves a clinical assessment supplemented by imaging and electrophysiological studies to evaluate the extent of nerve involvement. While conservative management may be sufficient in the early stages, surgical intervention is often necessary for advanced cases, and various techniques offer differing outcomes. This review underscores the importance of a thorough anatomical understanding in guiding an accurate diagnosis and effective treatment, ultimately contributing to improved patient outcomes. These insights are essential for clinicians encountering the complexities of CuTS in diverse clinical scenarios.
4.Refining the Diagnosis and Treatment of Cubital Tunnel Syndrome: A Comprehensive Review of Anatomy and Surgical Approaches
Suhmi CHUNG ; Inkyeong KIM ; Choonghyo KIM
The Nerve 2024;10(2):71-79
Cubital tunnel syndrome (CuTS) is a prevalent but often under-recognized compressive neuropathy of the upper extremities, involving the entrapment of the ulnar nerve within the cubital tunnel at the elbow. CuTS is common, but remains relatively unfamiliar to many neurosurgeons compared to other neuropathies. It frequently presents with sensory disturbances and motor deficits in the hand, particularly affecting the ulnar digits, and it may be linked to specific usage patterns or even considered a form of neurotrauma. Its diagnosis typically involves a clinical assessment supplemented by imaging and electrophysiological studies to evaluate the extent of nerve involvement. While conservative management may be sufficient in the early stages, surgical intervention is often necessary for advanced cases, and various techniques offer differing outcomes. This review underscores the importance of a thorough anatomical understanding in guiding an accurate diagnosis and effective treatment, ultimately contributing to improved patient outcomes. These insights are essential for clinicians encountering the complexities of CuTS in diverse clinical scenarios.
5.Refining the Diagnosis and Treatment of Cubital Tunnel Syndrome: A Comprehensive Review of Anatomy and Surgical Approaches
Suhmi CHUNG ; Inkyeong KIM ; Choonghyo KIM
The Nerve 2024;10(2):71-79
Cubital tunnel syndrome (CuTS) is a prevalent but often under-recognized compressive neuropathy of the upper extremities, involving the entrapment of the ulnar nerve within the cubital tunnel at the elbow. CuTS is common, but remains relatively unfamiliar to many neurosurgeons compared to other neuropathies. It frequently presents with sensory disturbances and motor deficits in the hand, particularly affecting the ulnar digits, and it may be linked to specific usage patterns or even considered a form of neurotrauma. Its diagnosis typically involves a clinical assessment supplemented by imaging and electrophysiological studies to evaluate the extent of nerve involvement. While conservative management may be sufficient in the early stages, surgical intervention is often necessary for advanced cases, and various techniques offer differing outcomes. This review underscores the importance of a thorough anatomical understanding in guiding an accurate diagnosis and effective treatment, ultimately contributing to improved patient outcomes. These insights are essential for clinicians encountering the complexities of CuTS in diverse clinical scenarios.