Microsurgical operations for nerve bundle compression
What is nerve bundle compression?
Peripheral nerve bundle compression is a condition in which pressure is exerted on any peripheral nerve, disrupting its normal function. Nerve compression often occurs in nerves that pass through small channels, known as tunnels. Tunnel syndrome is caused by pressure on a nerve in anatomically narrow tunnels. The walls of an anatomical tunnel are made up of structures such as bones, tendons, and muscles. Peripheral nerves and blood vessels usually pass through tunnels, but as a result of some abnormal changes, the canal narrows and causes compression of the nerve.
What are the types of nerve bundle compression?
Types of nerve bundle compression
- Carpal tunnel syndrome;
- Guyon's canal syndrome;
- Cubital tunnel syndrome;
- Radial nerve neuropathy;
- Peroneal nerve neuropathy;
- Tibial nerve neuropathy;
- Nerve compression caused by various types of tumors or synovial cysts.
What causes nerve bundle compression?
Nerve bundle compression can have various causes. The main causes of the disease are as follows:
- Accidents and injuries
- Surgical complications
- Tumors or cysts
- Compression of nerves by adhesions after wound healing
In some cases, tumors or synovial cysts exert direct pressure on the nerves, causing them to be compressed. Such conditions require immediate medical intervention to prevent irreversible nerve damage.
What are the symptoms of nerve bundle compression?
The main symptoms of nerve compression syndromes are:
- pain
- numbness
- tingling
- muscle weakness
- limited movement
- loss of function
These symptoms may develop gradually or suddenly, depending on the cause and duration of the compression.
How is nerve bundle compression diagnosed?
To diagnose nerve bundle compression, the following types of tests may be performed at the New Hospital:
- electromyography;
- ultrasound;
- magnetic resonance imaging.
What types of microsurgery are performed for nerve bundle compression?
When conservative treatment does not work, surgery is needed to treat the condition. In many cases of nerve bundle compression, the surgeon has to work with small anatomical structures, so microsurgery is the most common treatment for this condition. The microsurgical team at New Hospitals has many years of experience in performing microsurgical operations to treat nerve bundle compression. The clinic is equipped to perform microsurgical procedures such as:
- neurolysis or endoneurolysis of the nerve;
- decompression of the nerve in tunnel channels;
- nerve transposition;
- nerve plasty;
- removal of a tumor or cyst.
What complications can arise during microsurgical operations performed for nerve bundle compression?
Microsurgical operations are characterized by fewer complications and faster rehabilitation compared to traditional surgical interventions. However, like all surgical procedures, they are accompanied by certain risks of complications. Postoperative complications may include:
- infection;
- bleeding;
- exacerbation of pain;
- improper restoration of sensation or movement.
