Remission of a recurrent carpal tunnel syndrome by a new device of the hemodialysis method in a long-term hemodialysis patient.
This report concerns a case in which remission was achieved from the recurrent carpal tunnel syndrome employing new methods of hemodialysis. These being the maintenance of low endotoxin in dialysate, a highly permeable membrane and a 32-microglobulin-adsorbent column. A 78-year-old female patient with a 19-year history of hemodialysis was diagnosed as being a suitable recipient of a third operation. The concentration of endotoxin was maintained at under 10 EU/l and the highly permeable dialyzer with a larger sieving coefficient of beta2-microglobulin was introduced. A Lixelle adsorption column for beta2-microglobulin removal was also introduced and the serum concentration of the beta-microglobulin was maintained at under 20 mg/dl. Consequently, within 6 months the symptoms in the right hand had completely disappeared, the motor nerve latency had almost normalized at 5.0 msec and no recurrence was observed.
Shiota
E
E
Department of Orthopaedic Surgery, Chikushi Hospital, Fukuoka University, Japan.
Fujinaga
M
M
D000368:Aged; D002349:Carpal Tunnel Syndrome / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008567:Membranes, Artificial; D012008:Recurrence; D012074:Remission Induction; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors
D008567:Membranes, Artificial