Acute Carpal Tunnel Syndrome Resulting from Haemorrhage into the Carpal Tunnel in a Patient on Warfarin

1986 ◽  
Vol 11 (3) ◽  
pp. 455-456
Author(s):  
C. NKELE
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Venous Thrombosis ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Signs And Symptoms ◽  
Distribution Area ◽  
Blood Tests ◽  
Tunnel Syndrome ◽  
The Common ◽  
Acute Carpal Tunnel Syndrome

A case of acute compression neuropathy of the median nerve associated with haemorrhage into the carpal tunnel is presented. The condition occurred spontaneously in a patient on Warfarin for previous deep venous thrombosis. The signs and symptoms were those of acute tenosynovitis originating in the common flexor synovial sheath at the wrist with associated paraesthesia in the distribution area of the median nerve in the hand. The patient was afebrile and blood tests were normal.

scholarly journals Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report

2020 ◽  
Vol 6 (3) ◽  
pp. 161-164
Author(s):  
Joan Arenas-Prat ◽  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Peripheral Nerves ◽  
Distribution Area ◽  
Left Hand ◽  
Nerve Involvement ◽  
Tunnel Syndrome ◽  
Operative Findings ◽  
Klippel Trenaunay Syndrome

Background and Importance: Klippel-Trénaunay syndrome is a rare congenital condition that rarely affects peripheral nerves. Median nerve involvement at the carpal tunnel level has only been reported on four occasions of this syndrome in the medical literature. Case Presentation: A 61-year-old Caucasian female patient with Klippel-Trénaunay syndrome presented with a 10-month history of paraesthesia and numbness affecting the median nerve distribution area of her left hand. The clinical and neurophysiological examination confirmed a moderately severe carpal tunnel syndrome that required surgical decompression. Conclusion: Pre-operative findings demonstrated diffuse vascular infiltration and engorgement of the median nerve. Flexor tendons had a normal appearance. The patient had a satisfactory post-operative period with full resolution of her symptoms 4 weeks after the procedure. Although peripheral nerves are rarely affected in patients with Klippel-Trénaunay syndrome, neurological symptoms could indicate nerve involvement and magnetic resonance imaging (MRI) examination should be considered to further assess the extension of the lesion.

EXTRASKELETAL CHONDROMA AS A CAUSE OF CARPAL TUNNEL SYNDROME: A CASE REPORT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 327-330 ◽  
Author(s):  
D. Cumming ◽  
A. Massraf ◽  
J. W. M. Jones
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Clinical Examination ◽  
Carpal Tunnel ◽  
Common Causes ◽  
Tunnel Syndrome ◽  
Uncommon Condition ◽  
The Common ◽  
Space Occupying Lesion

We report a case of carpal tunnel syndrome as a result of an extraosseous chondroma in a 47-year-old gentleman. This case demonstrates the importance of clinical examination and occasional radiographs in this not uncommon condition. We also highlight that this well known entrapment syndrome is not only caused by the common causes that we all know, but also any space-occupying lesion in the carpal tunnel compressing the median nerve.

scholarly journals Electrophysiological Effect of Acupuncture in the Carpal Tunnel Syndrome Case

2021 ◽  
Vol 3 (5) ◽  
pp. 01-05
Author(s):  
Hayriye Alp
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Outpatient Clinic ◽  
Vitamin B1 ◽  
Distribution Area ◽  
Electrophysiological Effect ◽  
Tunnel Syndrome ◽  
Pramipexole Dihydrochloride ◽  
Classic Symptom

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and occurs as a result of compression of the median nerve in the carpal tunnel at the wrist. The classic symptom in patients with CTS is paresthesia (numbness, burning, tingling) and pain in the median nerve distribution area of the hand, especially at night. A 24-year-old female patient presented to GETAT polk with the diagnosis of mild carpal tunnel syndrome after examination and EMG after the complaint of numb tingling in the hand in the neurology outpatient clinic. The patient was using Parkyn (pramipexole dihydrochloride monohydrate) 25mg. Acupuncture was applied to the patient for 10 sessions. Disposable sterile acupuncture needles were applied to the PC-6, H-7, LU-9, H-7, SI-3 points (0.22x13mm, 0.22x1.5mm Hua Long). The sessions lasted 20 minutes. The sessions were done first twice a week, then once a week. The patient was prescribed Vitamin B1 + B6 supplements. After 10 sessions of acupuncture, the EMG was repeated. The EMG result of the patient was normal. Parkyn was cut by neurology, Lyrica (pregabalin) was switched to 150mg. The patient's need for medication was also reduced.

Nesteroidic Antiinflammators with Variable Chemical Structure that Prevent Anti-inflammatory Effect in the Carpal Tunnel Syndrome - Compressive Neuropaty of the Median Nerve

2018 ◽  
Vol 69 (7) ◽  
pp. 1779-1784
Author(s):  
Alice Arina Ciocan Pendefunda ◽  
Razvan Leata ◽  
Vasile Nicolae ◽  
Codrina Ancuta ◽  
Adriana Elena Craciun ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Moderate Intensity ◽  
Distribution Area ◽  
Posterior Aspect ◽  
Compressive Neuropathy ◽  
Gradual Process ◽  
Dental Practitioners ◽  
Tunnel Syndrome

Musculoskeletal pathology reaches important proportions in dental practitioners. Besides the articular manifestations of inflammatory or degenerative rheumatism, in daily practice we often find patients suffering from abarticular pathological processes, during which tendons, synovial dysplasia, schizophrenia, fascia, aponevrozes are affected. The Carpal Tunnel Syndrome represents a compressive neuropathy of the median nerve inside the carpal tunnel of the wrist. Any condition that lowers the dimensions of the carpal tunnel can cause symptoms of carpal tunnel syndrome. The carpal channel (Carpal Tunnel) is divided by a sagittal fibrous divider into two osteofibrosis osteofibrosis: medial and lateral. This blade separates from the posterior aspect of the flexor retina and is inserted into the carpal bones (scaffold, trapezoid and capita). This syndrome has received particular attention in recent years due to the fact that it can occur in people whose work involves repetitive hand activities. Repeated use of the hand, repetition of the same movements and activities of the hand and wrist, over a long period of time, can cause inflammation of the tendons in the wrist, causing swelling, which puts pressure on the nerve. Symptoms of Carpal Tunnel Syndrome begin gradually - without specific trauma. It is a gradual process for most people, carpal tunnel syndrome is aggravated over time without appropriate treatment. The study includes a batch of 75 dentists from Galati County, selected following the application of the inclusion criteria referring to the presence of signs and symptoms characterizing carpal tunnel syndrome in 2015-2017. Sensitivity disorders and paraesthesias accompanying nerve suffering are symptoms that create discomfort and contributes to the deterioration of pretension and force so useful to the professional act of dental medicine. Perceived cramping pain, often of moderate intensity, located at the fist and distal in the distribution area of the median nerve, rarely the pains are intense and radiate upward along upper limb to shoulder.

scholarly journals The Role of Multifactorial Contribution in Carpal Tunnel Syndrome Occurrence

2021 ◽  
Vol 6 (2) ◽  
pp. 266-272
Author(s):  
Putu Feryawan Meregawa ◽  
John Nolan
Keyword(s):  
Risk Factor ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Strength Loss ◽  
Peripheral Neuropathies ◽  
Functional Disturbance ◽  
Tunnel Syndrome ◽  
The Common

As one of the common peripheral neuropathies, carpal tunnel syndrome (CTS) is accountable for the majority of typical hand pain and functional disturbance in median nerve innervation. The median nerve compression may cause some uncomfortable sensations including pain, numbness, tingling, and strength loss which also depends on the severity of the condition. Many factors could contribute to CTS occurrence. Several risk factors are thought to be in charge in CTS progressions, such as body mass index (BMI), gender, pregnancy, and biomechanical exposures combination is significantly explained as the major component in suffering CTS. Clinicians need to know the contributing risk factor to benefit the information within the implication for the treatment and reducing symptoms severity. Keywords: carpal tunnel syndrome, risk factor, multifactor.

ACUTE CARPAL TUNNEL SYNDROME SECONDARY TO CALCIFIC TENDINITIS: CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 197-200 ◽  
Author(s):  
Waleed Riad Saleh ◽  
Hiroshi Yajima ◽  
Akito Nakanishi
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Calcific Tendinitis ◽  
Dominant Hand ◽  
Clinical Recovery ◽  
Tunnel Syndrome ◽  
Median Nerve Decompression ◽  
Acute Carpal Tunnel Syndrome

Acute carpal tunnel syndrome (CTS) secondary to calcific deposition is rarely reported. In this article we describe a case of acute CTS in the dominant hand of a 94-year-old female patient secondary to calcific tendinitis within the carpal tunnel. Diagnosis was difficult clinically and radiologically. Urgent complete median nerve decompression led to a good clinical recovery.

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