Surgical treatment of superimposed nerve compressions in hepatitis C neuropathy.
The plastic surgeon's usual involvement in patients with hepatitis C is most frequently limited to an inner city population with hand and forearm abscesses from intravenous drug use or to incidences of needle-stick injury in the operating room when the patient is hepatitis C positive. Hand surgeons and peripheral nerve surgeons often treat patients with underlying neuropathies who have superimposed overlying nerve compressions such as carpal tunnel syndrome. We have applied this experience to a patient with underlying peripheral neuropathy associated with Hepatitis C and clinical evidence of overlying lower extremity nerve compressions. We believe that she is the first successful surgical treatment of peripheral nerve compressions in a patient with hepatitis C-associated neuropathy, documented by noninvasive neurosensory testing.
Rosson
Gedge D
GD
Division of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. gedge@jhmi.edu
Rodriguez
Eduardo D
ED
Dellon
A Lee
AL
D019299:Decompression, Surgical; D005260:Female; D006526:Hepatitis C / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000601:surgery* / Q000821:virology*; D010543:Peroneal Nerve; D013979:Tibial Nerve