Autonomic nervous system may be affected after carpal tunnel syndrome surgery: A possible mechanism for persistence of symptoms after surgery Szimpatikus bőrreakció csuklótáji alagútszindróma műtéti kezelése után


Onder B., Keles B.

Ideggyogyaszati Szemle, cilt.73, sa.5-6, ss.185-188, 2020 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 73 Sayı: 5-6
  • Basım Tarihi: 2020
  • Doi Numarası: 10.18071/isz.73.0185
  • Dergi Adı: Ideggyogyaszati Szemle
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.185-188
  • Anahtar Kelimeler: carpal tunnel syndrome, autonomic nervous system, sympathetic skin response, operation
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background - After carpal tunnel surgery, some patients report complaints such as edema, pain, and numbness. Purpose - The aim of this study was to evaluate autonomic nervous system function in patients with a history of carpal tunnel surgery using sympathetic skin response (SSR). Methods - Thirty three patients (55 ±10 years old) with a history of unilateral operation for carpal tunnel syndrome were included in the study. The SSR test was performed for both hands. Both upper extremities median and ulnar nerve conduction results were recorded. Results - A reduced amplitude (p=0.006) and delayed latency (p<0.0001) were detected in the SSR test on the operated side compared to contralateral side. There was no correlation between SSR and carpal tunnel syndrome severity. Conclusion - Although complex regional pain syndrome does not develop in patients after carpal tunnel surgery, some of the complaints may be caused by effects on the autonomic nervous system.