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Retrograde Diffuse Mononeuropathy Secondary to Peripheral Entrapment

Reversed Double-Crush Syndrome

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Double-Crush Syndrome

Abstract

Thomas (1960) described as common slower motor nerve conduction velocity of the median nerve proximal to this nerve entrapment in the carpal tunnel. Crymble (1968) delineated persistent neuralgia affecting the whole arm as a subjective symptom in carpal tunnel syndrome. He considered carpal tunnel syndrome as “probably the commonest single cause of brachial neuralgia.” Occasiaonally patients may complain more of pains in their neck and shoulder than in the forearm or hand. Crymble suggested that peripheral entrapment in carpal tunnel may provoke changes throughout the length of the involved axon. He then suggested that fibers subjected to initial pressure become more liable to pressure at other sites. In discussing their own findings, Upton and McComas (1973) noted the extensive slowing of impulse conduction in the median nerve proximal to a carpal tunnel lesion. They, however, doubted that this slowing came from damage to the median nerve in the carpal tunnel.

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Authors
  1. Vladimir Golovchinsky M.D., Ph.D., D. Sci.
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© 2000 Springer Science+Business Media New York

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Golovchinsky, V. (2000). Retrograde Diffuse Mononeuropathy Secondary to Peripheral Entrapment. In: Double-Crush Syndrome. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4419-7_5

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  • DOI: https://doi.org/10.1007/978-1-4615-4419-7_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6989-9

  • Online ISBN: 978-1-4615-4419-7

  • eBook Packages: Springer Book Archive

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