A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery.

Carpal tunnel MR Angiogram persistent median artery thrombosis ultrasound

Journal

The Indian journal of radiology & imaging
ISSN: 0971-3026
Titre abrégé: Indian J Radiol Imaging
Pays: Germany
ID NLM: 8503873

Informations de publication

Date de publication:
Historique:
received: 15 10 2019
revised: 16 01 2020
accepted: 05 03 2020
entrez: 26 10 2020
pubmed: 27 10 2020
medline: 27 10 2020
Statut: ppublish

Résumé

Carpal tunnel syndrome is a common peripheral nerve entrapment neuropathy caused due to compression of the median nerve at the level of the wrist joint. Bifid median nerve associated with a persistent median artery is a rare entity and in itself asymptomatic anatomical variant. However, distension of the persistent median artery due to a thrombus can be symptomatic due to compression on the median nerve and can compromise the blood flow to the palm. We report a case of persistent median artery thrombosis in a young female patient who presented with symptoms of carpal tunnel syndrome diagnosed on the ultrasonography and confirmed on the MRI with subsequent improvement post anticoagulation therapy.

Identifiants

pubmed: 33100695
doi: 10.4103/ijri.IJRI_423_19
pii: IJRI-30-229
pmc: PMC7546285
doi:

Types de publication

Case Reports

Langues

eng

Pagination

229-232

Informations de copyright

Copyright: © 2020 Indian Journal of Radiology and Imaging.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Rofo. 2012 Sep;184(9):829-30
pubmed: 22661387
Clin Anat. 2011 Jul;24(5):627-33
pubmed: 21647963
Pol J Radiol. 2011 Apr;76(2):46-8
pubmed: 22802832
J Neurosurg. 2002 Aug;97(2):471-3
pubmed: 12186479
J Hand Surg Am. 1985 Nov;10(6 Pt 1):864-7
pubmed: 4078270
Acta Orthop Belg. 1995;61(4):315-8
pubmed: 8571769
Can J Plast Surg. 2009 Fall;17(3):e3-7
pubmed: 20808747
Australas J Ultrasound Med. 2015 May;18(2):82-85
pubmed: 28191246
Arch Orthop Trauma Surg. 2004 Apr;124(3):154-6
pubmed: 14767781
J Anat. 1999 Jul;195 ( Pt 1):57-63
pubmed: 10473293
JBR-BTR. 2002;85(1):1-3
pubmed: 11936477

Auteurs

Richa D Jain (RD)

Department of Radiodiagnosis, Aster CMI Hospital, Bengaluru, Karnataka, India.

Lokesh Bathala (L)

Department of Neurology, Aster CMI Hospital, Bengaluru, Karnataka, India.

H K Anuradha (HK)

Department of Neurology, Aster CMI Hospital, Bengaluru, Karnataka, India.

Sudhir K Kale (SK)

Department of Radiodiagnosis, Aster CMI Hospital, Bengaluru, Karnataka, India.

Guruprasad S Pujar (GS)

Department of Neurology, Aster CMI Hospital, Bengaluru, Karnataka, India.

Man M Mehndiratta (MM)

Department of Neurology, Janakpuri Super Speciality Hospital, New Delhi, India.

Leo H Visser (LH)

Department of Neurology and Clinical Neurophysiology, St. Elisabeth Hospital, Tilburg, Netherland.

Classifications MeSH