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.

scholarly journals Carpal Tunnel Syndrome Caused by A Fibrolipomatous Hamartoma of the Median Nerve

2021 ◽  
pp. 20200090
Author(s):  
Fouad Aladel ◽  
Ahmed Aldhafiri ◽  
Thabet Alghazal ◽  
Fahad Alsafran ◽  
Zainab Alrashed ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Peripheral Nerves ◽  
Benign Lesion ◽  
Invasive Procedure ◽  
Fibrolipomatous Hamartoma ◽  
Tunnel Syndrome ◽  
The Right ◽  
Patient At Risk

Fibrolipomatous hamartoma (FLH) of the nerve (also known as perineural lipoma, neural fibrolipoma, or lipomatosis of the nerve) is a well-known, rare benign lesion that can affect any peripheral nerve, resulting in significant enlargement of the involved nerve with fibrofatty infiltration. Although it is most commonly involving the median nerve, other peripheral nerves can be also involved. Being familiar with the pathognomonic characteristics on different imaging modalities and the association of this entity with macrodactyly help reach the diagnosis, avoid putting the patient at risk of an invasive procedure, and can guide management. We present to you a rare case of a FLH of the median nerve that was diagnosed on MRI of an adult female who presented with carpal tunnel syndrome (CTS) and progressive swelling of the right hand and wrist.

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 Multifocal acquired demyelinating sensory and motor neuropathy misdiagnosed as carpal tunnel syndrome: a case report

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199889
Author(s):  
Soyoung Kwak ◽  
Mathieu Boudier-Revéret ◽  
Hee Kyung Cho ◽  
Min Cheol Chang
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Peripheral Nerves ◽  
Chronic Inflammatory Demyelinating Polyneuropathy ◽  
Motor Neuropathy ◽  
Motor Weakness ◽  
Left Hand ◽  
Sensory Deficits ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome

Multifocal acquired demyelinating sensory and motor neuropathy (MADSAM), a subtype of chronic inflammatory demyelinating polyneuropathy, is a non-compressive peripheral nerve disorder. Symptoms of MADSAM include asymmetrical weakness and sensory deficits in the distribution of individual peripheral nerves, which are frequently noted in the distal portion of peripheral nerves. MADSAM can be easily misdiagnosed as any of the various compressive peripheral neuropathies. Here, we present a case of MADSAM misdiagnosed as carpal tunnel syndrome (CTS). A 53-year-old woman had bilateral asymmetrical hand weakness (left hand: significant weakness, right hand: slight motor weakness) and a slight weakness of her bilateral lower extremities. Sensory deficit was found on the volar side of her left hand. She had visited many clinics previously and was diagnosed with CTS. However, an electrodiagnostic study performed in our hospital did not identify CTS but indicated a demyelinating peripheral neuropathy in all limbs. On the basis of the patient’s clinical symptoms and laboratory findings, she was diagnosed with MADSAM. When patients exhibit progressive aggravating motor weakness and sensory deficits in more than one distal limb without a specific finding of compressive neuropathy in electrodiagnostic studies, clinicians should consider the possibility of MADSAM.

Magnetic Resonance Imaging of the Carpal Tunnel

1990 ◽  
Vol 15 (2) ◽  
pp. 243-248
Author(s):  
C. HEALY ◽  
J. D. WATSON ◽  
A. LONGSTAFF ◽  
M. J. CAMPBELL
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Nerve Compression ◽  
Resonance Imaging ◽  
Electrophysiological Studies ◽  
Tunnel Syndrome ◽  
Operative Findings

Eleven wrists in eight patients with carpal tunnel syndrome were investigated by electrophysiological studies and magnetic resonance imaging (M.R.I.). The operative findings in ten wrists correlated with the M.R.I. evidence of synovial disease, carpal tunnel stenosis and median nerve compression.

Carpal Tunnel Syndrome Due to Fibrolipomatous Hamartoma of the Median Nerve in Klippel-Trénaunay Syndrome

2009 ◽  
Vol 91 (5) ◽  
pp. 1223-1227 ◽  
Author(s):  
Mitsuhiro Matsubara ◽  
Hirotaka Tanikawa ◽  
Yuuji Mogami ◽  
Shunichi Shibata ◽  
Shigeharu Uchiyama ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Fibrolipomatous Hamartoma ◽  
Tunnel Syndrome ◽  
Klippel Trenaunay Syndrome

scholarly journals Acute progressive bilateral carpal tunnel syndrome associated with remitting seronegative symmetrical synovitis with pitting edema syndrome: A case report

2019 ◽  
Vol 28 (1) ◽  
pp. 230949901989307
Author(s):  
Kentaro Okuma ◽  
Ryogo Furuhata ◽  
Yasuhiro Kiyota ◽  
Aki Kono ◽  
Teppei Hayashi ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Sudden Onset ◽  
Left Hand ◽  
Urgent Surgery ◽  
Rs3pe Syndrome ◽  
Tunnel Syndrome ◽  
Pitting Edema

The association between carpal tunnel syndrome (CTS) and remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome, an elderly onset rheumatic disease, is not fully understood. Here, we describe a case of acute CTS caused by RS3PE syndrome. An 84-year-old man visited the hospital with sudden onset of severe neuralgia in the median nerve and pitting edema in both hands. Computed tomography showed low-density areas around the flexor tendons and median nerve compression in the carpal tunnel. Rapidly progressing intolerable neuralgia and paralysis required urgent carpal tunnel release in the left hand. After surgery, we considered the possibility of RS3PE syndrome and started the administration of prednisolone. The pitting edema and neuralgia improved. In this case, imaging and intraoperative findings suggest that the effusion generated from flexor tenosynovitis associated with RS3PE syndrome increased the internal pressure in the carpal tunnel rapidly, which led to acute CTS and urgent surgery.

Atypical carpal tunnel syndrome with compression of the ulnar and median nerves

1981 ◽  
Vol 54 (5) ◽  
pp. 668-669 ◽  
Author(s):  
Vagn Eskesen ◽  
Jarl Rosenørn ◽  
Ole Osgaard
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Clinical Signs ◽  
Content Type ◽  
Nerve Involvement ◽  
Tunnel Syndrome ◽  
Fine Print

✓ Clinical signs of ulnar nerve involvement at the wrist level were found in a 51-year-old man. The electrophysiological changes were indicative of a median nerve involvement in the carpal tunnel. At operation, the compressed ulnar nerve was found in the carpal tunnel, together with the median nerve. This localization of the ulnar nerve has not been described previously.

scholarly journals Surgical correction of iatrogenic lesion of the median nerve after endoscopic decompression: Case report

2021 ◽  
Author(s):  
Erlan Pércio Lopes Rufino ◽  
Eduarda Silvestre Ribeiro da Costa Gomes ◽  
Gabriela Silvestre Ribeiro da Costa Gomes ◽  
João Guilherme Araújo Magalhães Neiva ◽  
Maria Eduarda Queiroz de Albuquerque
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Surgical Procedure ◽  
Surgical Techniques ◽  
Motor Branch ◽  
Left Hand ◽  
Iatrogenic Lesion ◽  
Tunnel Syndrome

Introduction: Carpal tunnel syndrome is neuropathy of compressive origin, surgical treatment can present complications that are difficult to solve, among them, painful neuromas of the peripheral nerves, affecting 2–60% of patients with nerve damage. There is no consensus on the ideal treatment for painful neuroma. Consequently, numerous modalities to treat neuroma pain are described. Case report: Female, 45 years old, presented with a left hand carpal tunnel syndrome clinic. There is a report of having undergone a surgical procedure for decompression of the carpal tunnel with endoscopy, progressing with worsening of symptoms. Another surgical procedure was performed (conventional open route) in the region of the left wrist with intra-op visualization of total nerve rupture. Neurorrhaphy of the median nerve was performed. Patient came to our service complaining of severe pain (VAS 9/10) in median nerve topography associated with paresis of the muscles innervated by the same. Neuroma resection and sural nerve grafting for the tenar motor branch, ulnar and radial median group and patient evolved with significant pain improvement (VAS of 2/10). Discussion: A wide variety of surgical techniques are described to treat painful neuroma. In this case, the success of the chosen tchnique is evidenced by the drop of 07 points in the VAS. Conclusion: It is evident that the endoscopic correction of carpal tunnel syndrome is not without complications and should be indicated with caution. It is necessary to carry out more studies that can evidence the best conduct for each case.

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.

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