Serial studies of carpal tunnel syndrome during and after pregnancy.
Carpal tunnel syndrome (CTS) is a frequent and underdiagnosed complication of pregnancy. Conservative therapies are common initial measures, but data on the course of improvement are limited. We report a case of pregnancy-associated CTS with unusually detailed serial electrophysiologic studies before and after wrist splinting. Physiologic measures reached a nadir and then rapidly improved following conservative therapy, paralleling clinical improvement. Responses took between 6 and 20 months postpartum to approach baseline values.
Weimer
Louis H
LH
Columbia University College of Physicians and Surgeons, New York, New York, USA. LHW1@Columbia.edu
Yin
June
J
Lovelace
Robert E
RE
Gooch
Clifton L
CL
D000200:Action Potentials; D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D018450:Disease Progression; D004568:Electrodiagnosis; D005260:Female; D006801:Humans; D008475:Median Nerve / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D011930:Reaction Time; D012075:Remission, Spontaneous; D013165:Splints