Can YALDIZ, Tibet KACİRA, Davut CEYLAN, Yeşim ARAS

Alt ekstremite Spasitesine Bağlı Bilateral Tarsal Tünel Sendromu: Olgu Sunumu

Tarsal tünel, ayak bileğinde var olan anatomik oluşumlardan birisidir. Bu tünelin oluşturduğu kanal içerisinde, her hangi bir sebeple posterior tibial sinirin sıkışması sonucu tarsal tünel sendromu oluşur. Kanal içinde sıkışmaya neden olan etkenlerin en sık sebepleri arasında; kemik ve eklem deformiteleri, travma, yer kaplayan lezyonlar ve sistemik hastalıklar gözlemlenmektedir. Sendromun primer tedavisi konservatif yaklaşımlar olup, bu tedavilere yanıt vermeyen olgularda cerrahi tedavi uygulanmaktadır. Tarsal tünel sendromu çoğunlukla kadın popülasyonunda sıktır ve genellikle tek taraflıdır. Bu olgu sunumunda, alt ekstremite spastisitesi nedeni ile oluşan ve literatürde çok nadir olarak bildirilen, bilateral gelişen tarsal tunel sendromlu hasta sunulmaktadır.

BILATERAL TARSAL TUNNEL SYNDROME; OCCURED IN LOWER EXTREMITY SPASTISITY, A CASE REPORT

Tarsal tunnel is one of the anatomical formations in the ankle. Posterior tibial nerve entrapment in the canal, that is formed by this tunnel, causes tarsal tunnel syndrome. The most common reasons of entrapment are bone and junction deformities, trauma, space occupying lesions and systemic diseases. The primary treatment for this entrapment syndrome is conservative methods, but those who are not irresponsive to those treatments request surgical tretments. Tarsal tunnel syndrome is commonly unilateral and mostly seen in women. In this case, we present a bilateral tarsal tunnel syndrome occured because of a lower extremites spasticity, which is uncommon.

Keywords:

tarsal tunnel syndrome, entrapment, extremity spastisity,

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