Thrombosed persistent median artery causing carpal tunnel syndrome associated with bifurcated median nerve: A case report.
BACKGROUND
Carpal tunnel syndrome is a sporadically occurring abnormality due to compression of median nerve. It is exceedingly rare for it to be caused by thrombosis of persistent median artery.


METHODS
A forty two year old female was referred for ultrasound examination due to ongoing wrist pain, not relived by pain killers and mild paresthesia on the radial side of the hand. High resolution ultrasound and Doppler revealed a thrombosed persistent median artery and associated bifurcated median nerve. The thrombus resolved on treatment with anticoagulants.


CONCLUSIONS
Ultrasound examination of the wrist when done for patients with carpal tunnel syndrome should preferably include looking for persistent median artery and its patency.
Uniradiology - Morley, Walter Road (Cnr Collier Road), WA, Australia.
Martyn
M
Salter
Nitin Raj
NR
Sinha
Wojciech
W
Szmigielski