Carpal tunnel syndrome caused by thrombosis of the median artery: the importance of high-resolution ultrasonography for diagnosis. Case report.
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.
Kele
Henrich
H
Department of Clinical Neurophysiology, Georg August-University, Goettingen, Germany. hkele@gwdg.de
Verheggen
Raphaela
R
Reimers
Carl Detlev
CD
D000328:Adult; D001158:Arteries / Q000000981:diagnostic imaging; D002349:Carpal Tunnel Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000098:blood supply* / Q000000981:diagnostic imaging*; D013927:Thrombosis / Q000150:complications*; D014463:Ultrasonography