Bilateral Bifid Median Nerve with Bilateral Carpal Tunnel Syndrome: An Atypical Presentation, a Rare Cause and a Familiar Disease

2018 ◽  
Vol 23 (02) ◽  
pp. 274-277
Author(s):  
Anil K. Bhat ◽  
Ashwath M. Acharya ◽  
Jayakrishnan K. Narayana Kurup ◽  
Abhishek Chakraborti
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Clinical Examination ◽  
Carpal Tunnel ◽  
Atypical Presentation ◽  
Iatrogenic Injuries ◽  
Tunnel Syndrome ◽  
Median Artery ◽  
Bilateral Carpal Tunnel Syndrome

We report a case of bilateral carpal tunnel syndrome (CTS) with bilateral bifid median nerve (BMN) without a persistent median artery diagnosed by clinical examination, NCV and Ultrasonography. Bilateral BMN to produce bilateral CTS is extremely rare and is contrary to the popular classifications which state that BMN without persistent median artery or its anomalies will not produce CTS. Ultrasonogram is of additional help to identify such aberrations in the median nerve to prevent iatrogenic injuries during carpal tunnel decompression.

A PERSISTENT MEDIAN ARTERY AND BIFID MEDIAN NERVE IN THE SETTING OF CARPAL TUNNEL SYNDROME

2012 ◽  
Vol 15 (02) ◽  
pp. 1272004
Author(s):  
M. Lee Spangler ◽  
Emad Almusa ◽  
Cynthia Britton
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Imaging Features ◽  
Anatomic Variants ◽  
Tunnel Syndrome ◽  
Median Artery

We present a case of bifid median nerve and a persistent median artery presenting in the setting of carpal tunnel syndrome. The importance of these anatomic variants and their imaging features and workup are discussed.

scholarly journals Incidental finding of a persistent median artery (palmar type) during a routine carpal tunnel decompression: a case report

2017 ◽  
Vol 99 (7) ◽  
pp. e204-e205
Author(s):  
J Butt ◽  
AK Ahluwalia ◽  
A Dutta
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Incidental Finding ◽  
Surgical Decompression ◽  
Iatrogenic Injury ◽  
Palmar Fascia ◽  
Tunnel Syndrome ◽  
Median Artery

Carpal tunnel syndrome is characterised by compression of the median nerve. The mainstay of treatment is surgical decompression. This case report highlights the occurrence of a persistent median artery, which could complicate surgery. A 55-year-old woman underwent carpal tunnel decompression. An incidental finding of a large-calibre persistent median artery, which was superficial to the flexor sheath, could have been damaged. This was carefully retracted and the procedure was completed, without any complications. Several studies have shown the prevalence of persistent median artery to range from 1.1–27.1%. It is usually found deep to the flexor retinaculum but in this case it was found to be just beneath the palmar fascia. There is increased chance of iatrogenic injury with this particular variant. Surgeons performing the procedure should be mindful of this variation, because accidental damage could result in devastating consequences to the hand.

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.

Use of the Palmaris Brevis Flap for Preventing Recurrent Median Nerve Compression in Mucolipidosis

1999 ◽  
Vol 24 (3) ◽  
pp. 300-302 ◽  
Author(s):  
M. B. H. KELLY ◽  
L. BOSMANS ◽  
D. GAULT
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Compression ◽  
Median Nerve Compression ◽  
Internal Neurolysis ◽  
Tunnel Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

In a patient with severe, recurrent bilateral carpal tunnel syndrome secondary to mucolipidosis, the ‘turnover’ palmaris brevis flap was used in conjunction with internal neurolysis. The procedure was effective in alleviating symptoms of recurrent carpal tunnel compression in both hands.

Student Section

1977 ◽  
Vol 44 (3) ◽  
pp. 144-144
Author(s):  
Rosemary Weiss
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Clinical Picture ◽  
Neutral Position ◽  
Wrist Movement ◽  
Tunnel Syndrome ◽  
Median Artery

A closer look at splinting for carpal tunnel syndrome (CTS) is necessary, since it is suggested that there are two types of CTS. 1) neural CTS, with a typical clinical picture of injury of the median nerve and, 2) vascular CTS where the early dominant symptoms are ischemic due to compression of a) a persisting median artery and, b) the radial and ulnar arteries Preventing wrist movement and excessive gripping during the day, alleviates compression of the radial, ulnar and possibly persisting median artery, and the median nerve. Thus, a release phenomenon does not occur at night. It is suggested that the wrist be splinted in a functional splint during the day, and a resting splint during the night, supporting the wrist in both cases, in a neutral position.

scholarly journals Giant median nerve in bilateral carpal tunnel syndrome

2013 ◽  
Vol 46 (01) ◽  
pp. 140-142
Author(s):  
Hosein Ahmadzadeh Chabok
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Middle Age ◽  
Healthy Man ◽  
Tunnel Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

ABSTRACTWe introduce a middle age healthy man with sequential bilateral carpal tunnel syndrome. At the surgery, we encountered a wide median nerve in both wrists. Although enlargement of median nerve in carpal tunnel has been well documented, 25 mm width of the nerve is a rare scene, underscoring that leaving the nerve under the unyielding pressure would lead to a fibrous atrophic median nerve.

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