scholarly journals Carpal tunnel syndrome caused by thrombosed persistent median artery - A case report -

2020 ◽  
Vol 15 (2) ◽  
pp. 193-198
Author(s):  
Sang Yoon Jeon ◽  
Kwangmin Lee ◽  
Weon-Joon Yang

A rare case of carpal tunnel syndrome caused by a thrombosed persistent median artery is presented here. The diagnosis was delayed due to the overlapping cervical radiculopathy. Acute severe pain and nocturnal paresthesia were chief complaints. Ultrasonography, magnetic resonance imaging, and computed tomography angiography revealed that the median nerve was compressed by the occluded median artery. Instead of surgery, conservative therapy was tried. It worked well for six months. The importance of using modalities for decision making of diagnosis and treatment is emphasized in this report.

2002 ◽  
Vol 97 (2) ◽  
pp. 471-473 ◽  
Author(s):  
Henrich Kele ◽  
Raphaela Verheggen ◽  
Carl Detlev Reimers

✓ The rare case of a patient with carpal tunnel syndrome caused by thrombosis of a persistent median artery is presented. Progressive pain in the wrist and dysesthesias in the third and fourth fingers were the atypical complaints. High-resolution ultrasonography revealed a bifid median nerve that was compressed by an occluded median artery. The intraoperative findings are described, and emphasis is placed on the importance of using high-resolution ultrasonography for presurgical diagnosis.


1973 ◽  
Vol 38 (6) ◽  
pp. 774-777 ◽  
Author(s):  
John A. Maxwell ◽  
John J. Kepes ◽  
Lynn D. Ketchum

✓ A rare case of thrombosis of a persistent median artery as a cause of acute carpal tunnel syndrome is reported. The sudden onset of pain, local tenderness of the palm, and decreased sensation in the median nerve distribution were the symptoms. The operative findings and subsequent progress are described.


2016 ◽  
Vol 5 (2) ◽  
pp. 107
Author(s):  
Turan Dulgeroglu ◽  
Yunus Guzel ◽  
Hasan Metineren ◽  
Huseyin Metineren

2021 ◽  
Vol 87 (3) ◽  
pp. 529-532
Author(s):  
S Arnauw ◽  
G De Wachter

Carpal tunnel syndrome (CTS) is a common peripheral neuropathy, caused by compression of the median nerve. Symptoms usually are present for months and aggravate over time. Acute onset of complaints and symptoms, like coldness of the hand, should raise awareness of a possible vascular cause of CTS.Persistent median artery (PMA) is a very rare anatomical variant of the blood supply of the upper limb. The presence of a thrombosed PMA is an extremely rare cause of CTS. In this article a case is presented in which the patient has carpal tunnel syndrome of his left hand, caused by a thrombosed persistent median artery. Conservative treatment, consisting of rest, ice applica- tion and non-steroidal anti-inflammatory drugs, failed. Surgical excision of the thrombosis and open exploration of the carpal tunnel was performed, with complete relief of symptoms. In literature different treatment options, like conservative treatment with antiplatelet therapy or surgical excision of the throm- bosis and decompression of the nerve, are described with good results. However up until now, no consensus exists about the golden standard in treatment of a thrombosed persistent median artery.


2012 ◽  
Vol 15 (02) ◽  
pp. 1272004
Author(s):  
M. Lee Spangler ◽  
Emad Almusa ◽  
Cynthia Britton

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.


2010 ◽  
Vol 43 (02) ◽  
pp. 210-212
Author(s):  
S. R. Sharma ◽  
Nalini Sharma ◽  
M. E. Yeolekar

ABSTRACTWe present a case of carpal tunnel syndrome (CTS) due to compression of the median nerve within the carpal tunnel, caused by cysticercosis. Nerve conduction studies revealed severe CTS. Magnetic resonance imaging suggested an inflammatory mass compressing the median nerve in carpal tunnel. The histological diagnosis was consistent with cysticercosis. The case resolved with conservative treatment. Such solitary presentation of entrapment median neuropathy as CTS caused by cysticercosis is extremely rare. To our knowledge, this is the only case of its kind reported in literature till date.


2020 ◽  
Vol 87 (6) ◽  
pp. 666-667 ◽  
Author(s):  
Gianluca Smerilli ◽  
Jacopo Di Battista ◽  
Edoardo Cipolletta ◽  
Walter Grassi ◽  
Emilio Filippucci

HAND ◽  
1981 ◽  
Vol os-13 (1) ◽  
pp. 87-91 ◽  
Author(s):  
A. Nather ◽  
R. W. H. Pho

A rare case of carpal tunnel syndrome due to an anomalous second lumbrical muscle passing through the carpal tunnel is described. Its presentation as an organising haematoma in the anomalous muscle due to trauma precipitating the syndrome has not been reported in the literature previously. The anomalous muscle with its contained haematoma was excised with complete relief of symptom.


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