Carpal Tunnel Syndrome: A Clinical and Electrophysiological Appraisal in Carpal Tunnel Syndrome
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 11
Abstract
Background: Indian studies, especially from this part (NCR Region) are scarce in Carpal tunnel syndrome (CTS), the most common entrapment neuropathy. Aim of this study was to analyze clinical and electrophysiological profile in CTS. Materials and Methods: 50 hands (35 patients) with clinical features compatible with CTS were included in the study. Detailed clinical, laboratory and electrophysiological evaluations of patients were done. The patients were followed up to a period of one year. Results: The mean age of patients was 43.5 years with M: F ratio of 15: 38. Symptoms were bilateral in 30% of patients. The most common symptom was numbness sensation in hands, followed by pain while least common was colour change .Sensory loss was observed in 60% while clumsiness was noted in 40% of hands. Thyroid abnormalities were associated with 30% of hands. Mean EPS Grade was 3.32, with the most common electrophysiological abnormality was increase in latency difference between median and ulnar sensory nerves. This was also seen as the only electrophysiological abnormality in 8%. The least common abnormality was un-recordable CMAP. The patients with only a change in the sensory latency responded well to drugs and use of splint. Those who had in addition abnormal CMAP did not respond so well. The patients with thenar atrophy also did not respond well. Conclusion: Carpal tunnel syndrome commonly presents with numbness in both hands with frequently associated hypothyroidism. Electrophysiological abnormalities can help in predicting the therapeutic response and prognosis. Abnormalities of CMAP and presence of atrophy are predictors of poor prognosis.
Authors and Affiliations
Dhermendra Pratap Singh
Keywords
Related Articles
- EP ID EP214818
- DOI -
- Views 81
- Downloads 0
Unusual Presentation and Survival of Malignant Melanoma in Young Adult with Lymph Node, Lung, Liver, Brain, Bone and Adrenal Gland Metastases
Mortality rates from malignant melanoma (Mm) are high if not detected in early stages. Mm mostly metastasize to lymph nodes (73.5%), followed by lungs (71.3%), liver (58.3%), brain (54.6%), bone (48.6%) and adrenal gland...
Knowledge, attitude, practices and role of social support in breastfeeding among women: A cross-sectional study
Timely initiation of breast-feeding is critical to every infant's nutritional growth and development. There are various factors which influence successful breastfeeding in their own way. The Indian culture is diverse and...
Outcome of Autologous Bone Marrow Aspirate Concentrate (BMAC) Transplantation in Patient with Spinal Cord Injury: Our experiences
Introduction: Spinal cord injury (SCI) is a severe neurological disorder following trauma. Complete spinal cord injury ASIA Grade A with quadriplegia / paraplegia patients remains untreated and neglected in our country s...
An Autopsy Based Study of Burn Deaths with Histopathology of Kidneys in West Bengal
Every year a large number of deaths occur in India due to burn injuries. Burn deaths are a major public health problem in our country. Aim of this study is to find out the epidemiology of death due to burn injury associa...
Pulmonary Hypertension as Presenting Manifestation of Systemic Lupus Erythematosus
Pulmonary hypertension as presenting manifestation of SLE is extremely rare. Here we report a case of 29 year old woman presenting with progressive shortness of breath associated with pedal edema which on detailed examin...