Carpal tunnel syndrome in Lyme borreliosis.
Neurophysiologic evidence of median nerve entrapment in the carpal tunnel was present in 25% of patients with late Lyme borreliosis. Sixty-eight of 76 consecutive, prospectively studied patients with late Lyme underwent neurophysiologic testing. Nineteen reported intermittent hand paresthesias; 17 had neurophysiologically confirmed carpal tunnel syndrome. This was not consistently associated with clinically apparent wrist arthritis or with neurophysiologically evident peripheral neuropathy. We conclude that a significant proportion of patients with late Lyme borreliosis develop carpal tunnel syndrome.
Halperin
J J
JJ
Department of Neurology, State University of New York, Stony Brook 11794.
Volkman
D J
DJ
Luft
B J
BJ
Dattwyler
R J
RJ
D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000209:etiology*; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications*; D008297:Male; D011446:Prospective Studies