Turkish Neurosurgery 2000 , Vol 10 , Num 3-4
TARSAL TUNNEL SYNDROME: REPORT OF TWO CASES WİTH ATYPİCAL ETİOLOGY
Bayram ÇIRAK1, Mehmet Bahadır GÜVEN,1 Nihat TOSUN2
1Yüzüncü Yıl University School of Medicine, Departments of Neurosurgery, Van, Türkiye
2Yüzüncü Yıl University School of Medicine, Departments of Orthopedics and Traumatology, Van, Türkiye
Tarsal tunnel syndrome involves compression of the posterior tibial nerve due to trauma, repetitive microtrauma, ankle fracture, tumors of the tuımel contents, and systemic diseases including ankylosing spondylitis, uremia, and rheumatoid arthritis. The symptoms are focal pain, and paresthesia over the distribution of the posterior tibial nerve and its branches. The diagnosis is based on physical examination findings and electrophysiological evaluation. Surgery is the only curative treatment. Here we describe two cases of tarsal tunnel syndrome, both of which arose due to unusual causes. One patient developed problems associated with deep venous thrombosis of the leg that occurred secondary to a spinal operation, and the second case was associated with rheumatoid arthritis. The patients were operated on under local anesthesia, and outcome was good in both cases. Keywords : Deep venous thrombosis, rheumatoid arthritis, tarsal tunnel syndrome
Corresponding author : Bayram Çırak, bayramC@hotmai1.com