The elbow region is the most common site at which the ulnar nerve is prone to a localized neuropathy. Diagnosis of ulnar nerve entrapment at elbow is made on the basis of history, lacal neurologic finding, nerve conduction studies and electromyography. Electrophysiologic test is simple, relatively quick, and accurate method for the diagnosis of peripheral nerve lesion. Therefore, electrodisgnosis makes it possible to identify and localize the early stage of entrapment lesion. Definitive diagnosis of ulnar nerve entrapment at elbow requires electromyographic demonstration of decreased ulnar nerve conduction velocity across the elbow and depressed sensory nerve action potentials. The purpose of this study were to analyze the electrophysiologic findings of patients with an established ulnar nerve entrapment at elbow compared to normal eonduction velocity of our laboratory. And we evaluate the correlation of clinical symptom with the electromyographic findings. Twenty five subjects were studied, 22 men and 3 women, aged from 5 to 62 years. The results were as follows . 1. The mean motor conduction velocity of ulnar nerve across elbow were 32.85±10.21 m/sec. The longer duration of symptom were, the slower conduction veloctity across elbow were. 2. Among the 25 patients, motor conduction velocity of ulnar nerve at forearm segment decreased in 15 patients(60%). As the motor conduction velocity of the ulnar nerve across elbow became slower, thst of forearm segment were slower. 3. In 19 patients (76%) among the 25 patients, sensory evoked potentials revealed prolonged distal latency or were not evoked. 4. On needle electrodiagnostic study, positive sharp wave or fibrillation potentials could be found in abductor digiti minimi first dorsal interosseus and/or flexor carpi ulnaris muscles in 22 patients(88%).
Action Potentials ; Diagnosis ; Elbow ; Electromyography ; Evoked Potentials ; Female ; Forearm ; Humans ; Male ; Methods ; Muscles ; Needles ; Neural Conduction ; Neurologic Manifestations ; Peripheral Nerves ; Ulnar Nerve Compression Syndromes ; Ulnar Nerve

No abstract available.

No abstract available.
Elbow*

No abstract available.
Adult* ; Humans ; Muscles* ; Shoulder*

We report herein three cases of superficial migratory thrornbophlebitis, who were all male, aged 33(Case 1), 49(Case 2), and 41(Case 3), respectively. Common to all three cases were the lesions which were multiple tender superfieial erythematous nodules, about 0.5 to 1.5cm in diameter, in cord-like indurations slong the superficial veins over the legs and feet. Histopathologically, the deep dermal veins commonly showed luminal occlusions by thrombi, and inflarnmstory infiltrates of a fairly large number of lyrnphohistiocytes and a few giant cells in their walls and surrounding tissues. Cases 1 and 2 were with idiopathic type, and Cage 3was associated with Buergers disease. The systemic therapy with dipyridamole, nicotinamide, aspirin and piraicam had been tried with unsatisfactory results.
Aspirin ; Dipyridamole ; Foot ; Giant Cells ; Humans ; Leg ; Male ; Niacinamide ; Phenobarbital ; Thromboangiitis Obliterans ; Thrombophlebitis* ; Veins

We reported herein a case of median raphe cysts and canal of the scrotum. The 7-year-old patient had had the beaded cysts of 0.1 to 0.5cm in size slong a cord-like canal measuring about 8cm in the median raphe of the scrotum since the birth on. The cystic wall was unilocular and lined by pseudostratified columnar epitheliurn of one to four cells in thickness.
Child ; Humans ; Parturition ; Scrotum*

We reported herein a case of median raphe cysts and canal of the scrotum. The 7-year-old patient had had the beaded cysts of 0.1 to 0.5cm in size slong a cord-like canal measuring about 8cm in the median raphe of the scrotum since the birth on. The cystic wall was unilocular and lined by pseudostratified columnar epitheliurn of one to four cells in thickness.
Child ; Humans ; Parturition ; Scrotum*

The primary treatment goal of torticollis is to prevent the craniofacial deformities, limitation of neck movements and long-term postural changes. In order to offer precise guidelines for the treatment of torticollis regarding the cosmetic and functional results, we analyzed 99 torticollis children retrospectively for the ages at diagnosis and the start of treatment, the duration of treatment, the problems at first visitation, and the size of sternocleidomastoid mass. These patients visited the department of rehabilitation medicine, Holy Family Hospital from April 1991 to June 1997. The results showed that there was no relation between the number of problems at first visitation and the age at the start of treatment, but the group with 1 problem had a significantly shorter duration of treatment than the groups with more than 4 problems. The ages at diagnosis and at the start of treatment for the patients with a palpable neck mass were younger than those of the patients without a neck mass. The duration of treatment was longer for the patients with a larger size of mass by the ultrasonography of the neck. The ages at diagnosis and at the start of treatment, and the duration of treatment were all younger and shorter in the cosmetically satisfactory group than those of the cosmeticlly unsatisfactory group. However there was no significant difference between the functionally satisfactory group and unsatisfactory group in the ages at diagnosis and at the start of treatment, and the duration of treatment. In conclusion, when the treatment of torticollis was started early, especially at less than 3 months old, better cosmetic results were obtained, even though functional results were relatively satisfactory by the proper rehabilitation treatments. We want to emphasize that it is important to detect and treat the torticollis as early as possible for the better cosmetic results.
Child* ; Congenital Abnormalities ; Diagnosis ; Humans ; Infant ; Neck ; Rehabilitation* ; Retrospective Studies ; Torticollis* ; Ultrasonography

Cerebral air embolism is an uncommon disorder, but it can result in significant morbidity and even mortality. Cerebral air embolism during esophago-gastro-duodenoscopy is also rare, but has in recent years been repeatedly reported. We report here a patient with cerebral infarction due to air embolism during endoscopic variceal ligation in liver cirrhosis. The patient was later confirmed to have patent foramen ovale. To our knowledge, this is the first report of such a complication with underlying patent foramen ovale and portal hypertension, who did no have underlying malignancy

Amiodarone chlorhydrate is a diiodated benzofuran derivative, and it is used to treat cardiac rhythm abnormalities. Hepatotoxicity is a relatively uncommon side effect of amiodarone, and symptomatic hepatic dysfunction occurs in fewer than 1% of the patients taking amiodarone. Cirrhosis is a rare complication that's been confirmed in 12 cases. Peripheral neuropathy occurs in 10% of patients taking aminodarone. We report here on an unusual case of amiodarone-induced hepatotoxicity and peripheral neurotoxicity. A 75 year old man with normal liver function was given amiodarone for treating his atrial fibrillation and heart failure. He developed nausea, vomiting, muscle weakness and wasting after 17.8 months therapy with amiodarone (400 mg orally once per day). Liver biopsy showed the presence of foam cells in the hepatic sinusoids and Mallory bodies in the periportal hepatocytes on light microscopy. Sural nerve biopsy showed demyelination, and nerve conduction studies showed mixed sensorimotor polyneuropathy. These observations show the necessity of monitoring the hepatic function and conducting neurologic examination of the patients treated with amiodarone.
Aged ; Amiodarone/*adverse effects ; Anti-Arrhythmia Agents/*adverse effects ; Hepatitis, Toxic/*etiology ; Humans ; Liver Cirrhosis/chemically induced ; Male ; Polyneuropathies/*chemically induced