Mononeuropathies

Dr Jabir does a comprehensive review of all the mononeuropathies that you need to know - well nearly...

 

Video Duration: 5 minutes

  • Mononeuropathies
    Created by Ziad Aldabbagh
    General
    Epidemiology

    Pathology of a single nerve. Common.

    Pathology

    Due to compression or fracture of a bone.

    Top three causes

    Compression

    Bone Fracture

    Clinical Features
    Symptoms

    Pain and parasthesia in the sensory region supplied by the nerve;

    Median - radial 3.5 fingers;

    Ulnar - dorsal and ventral ulnar 1.5 fingers

    Radial - dorsal radial 2.5 fingers

    Signs

    Pain worst at night and wakes the patient up.

    Wrist drop (Radial nerve)

    Ulnar claw (Ulnar nerve)

    Hand of Benediction (Median nerve)

    Positive Tinel's/Phalen's test for Carpal Tunnel Syndrome (Median Nerve Compression in the

    Investigations
    Cultures

    None

    Bloods

    None

    Imaging

    None

    Scopic/Biopsy

    None

    Functional

    Sensory evoked potentials

    Treatment
    Conservative

    None

    Medical

    Splint to wear at night time

    Surgical

    Surgical decompression