Recurrent Carpal Tunnel Syndrome Owing to an Implantation Epidermoid Cyst after Carpal Tunnel Decompression: Case Report

Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. E956-E956 ◽  
Author(s):  
Hu Liang Low ◽  
Viraliur P. Sivasamy ◽  
A. Paul Griffiths ◽  
Robert M. Redfern
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Peripheral Nerve ◽  
Carpal Tunnel ◽  
Epidermoid Cyst ◽  
Wound Closure ◽  
Clinical Presentation ◽  
Carpal Tunnel Surgery ◽  
Tunnel Syndrome ◽  
Subcutaneous Mass

Abstract OBJECTIVE Implantation epidermoid cysts have been reported after a variety of surgical procedures. Although carpal tunnel surgery is the most common peripheral nerve operation, there have been no previous reports of these cysts after carpal tunnel decompression. We present a case of an implantation epidermoid cyst after carpal tunnel surgery. CLINICAL PRESENTATION A 41-year-old man presented with recurrence of carpal tunnel syndrome and an enlarging mass at the site of his previous carpal tunnel decompression. INTERVENTION The operation site was re-explored, and a subcutaneous mass was removed. This was histologically shown to be an implantation epidermoid cyst. CONCLUSION The possibility of an implanted epidermoid cyst should be considered in any patient who presents with a recurrence of carpal tunnel symptoms and a mass at the site of the previous operation. It is possible that the occurrence of these cysts may be related to the use of polyglactin sutures for wound closure. In this case, the result of surgery was excellent.

scholarly journals Chronic Miliarial Gout Associated with Carpal Tunnel Syndrome: A Very Rare Clinical Presentation

2018 ◽  
Author(s):  
Victoria Sadovici-Bobeica ◽  
Lucia Mazur-Nicorici ◽  
Aliona Nicorici ◽  
Virginia Salaru ◽  
Natalia Loghin-Oprea ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Clinical Presentation ◽  
Rare Presentation ◽  
Tophaceous Gout ◽  
Unusual Form ◽  
Parsimony Principle ◽  
Tunnel Syndrome

This case report describes an unusual form of gout, called miliarial gout, in association with carpal tunnel syndrome in a 54-year-old woman. Miliarial gout was first described in 2007 and is a very rare presentation of chronic tophaceous gout. The latter condition can cause carpal tunnel syndrome, but this association has not previously been described in association with miliarial gout. In addition, the authors discuss the use of the parsimony principle in internal medicine whereby a single cause is first sought for different symptoms presenting at the same time.

scholarly journals Accessory Palmaris Longus Encountered during Carpal Tunnel Surgery: A Case Report

2021 ◽  
Vol 26 (3) ◽  
pp. 166-170
Author(s):  
Sang Hyun Ko ◽  
Jin Seong Park ◽  
Tong Joo Lee
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Iatrogenic Injury ◽  
Anatomical Variant ◽  
Palmaris Longus ◽  
Carpal Tunnel Surgery ◽  
Tunnel Syndrome

The accessory palmaris longus is a rare anatomical variant in the wrist and forearm, which has been reported as the cause of carpal tunnel syndrome. This paper reports a case of the accessory palmaris longus incidentally found during carpal tunnel surgery. The paucity of awareness on the accessory palmaris longus in carpal tunnel surgery may lead to accidental iatrogenic injury to the median nerve or insufficient decompression of the median nerve.

Getting Patients Back to Work after Carpal Tunnel Surgery

2008 ◽  
Vol 18 (2) ◽  
pp. 60-63 ◽  
Author(s):  
Martyn Newey ◽  
Malcolm Clarke
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Patient Needs ◽  
Carpal Tunnel Surgery ◽  
Tunnel Syndrome ◽  
Back To Work

This article describes the condition known as carpal tunnel syndrome and reviews a carpal tunnel service that was started in Leicester in 1999. We look at how the service has developed to meet patient needs, and how we now aim to return patients back to function and employment as quickly as possible after surgery.

The Relationship of the Double Crush to Carpal Tunnel Syndrome (An Analysis of 1,000 Cases of Carpal Tunnel Syndrome)

1985 ◽  
Vol 10 (2) ◽  
pp. 202-204
Author(s):  
LAWRENCE C. HURST ◽  
DAVID WEISSBERG ◽  
ROBERT E. CARROLL
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Carpal Tunnel Surgery ◽  
Significant Incidence ◽  
Tunnel Syndrome ◽  
Relationship Of ◽  
The Relationship ◽  
Double Crush ◽  
Double Crush Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

In this series of 1,000 cases of carpal tunnel syndrome (888 patients) there is a statistically significant incidence of bilaterality in patients with cervical arthritis. There is also a statistically significant increase in the incidence of diabetes mellitus over the general population. These findings lend further support to Upton’s Double Crush hypothesis. Further, the double crush syndrome predisposes to bilateral carpal tunnel syndrome and may be an important prognostic factor. It may also be an explanation for some of the failures following carpal tunnel surgery and lead surgeons to look for other associated systemic diseases or mechanical blocks, when attempting to alleviate recalcitrant symptoms.

scholarly journals Amyloidotic muscle pseudohypertrophy: case report

2001 ◽  
Vol 59 (3A) ◽  
pp. 582-586 ◽  
Author(s):  
Rosana Herminia Scola ◽  
Lineu Cesar Werneck ◽  
Cássio Slompo Ramos ◽  
Ricardo Pasquini ◽  
Hans Graf ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Case Report ◽  
Bone Marrow Transplantation ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Muscle Hypertrophy ◽  
Type I ◽  
Subjective Improvement ◽  
Tunnel Syndrome ◽  
Bilateral Carpal Tunnel Syndrome

The authors report one case of amyloidosis associated with muscular pseudohypertrophy in a 46-year-old woman, who developed weakness, macroglossia and muscle hypertrophy associated with primary systemic amyloidosis. Electromyography showed a myopathic pattern and bilateral carpal tunnel syndrome. The muscle biopsy presented with a type I and II fiber hypertrophy and infiltration of amyloid material in the interstitious space and artery walls. She underwent bone marrow transplantation with stabilization and subjective improvement of the clinical picture.

scholarly journals Acupuncture Evoked Response in Contralateral Somatosensory Cortex Reflects Peripheral Nerve Pathology of Carpal Tunnel Syndrome

2013 ◽  
Vol 25 (4) ◽  
pp. 275-284 ◽  
Author(s):  
Yumi Maeda ◽  
Norman Kettner ◽  
Jeungchan Lee ◽  
Jieun Kim ◽  
Stephen Cina ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Peripheral Nerve ◽  
Somatosensory Cortex ◽  
Carpal Tunnel ◽  
Evoked Response ◽  
Tunnel Syndrome
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