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Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases

Carpal tunnel syndrome (CTS) usually presents bilaterally and a secondary nature should be suspected in patients with unilateral symptoms, especially those with a long-standing history, and when the symptomatic hand shows severe neurophysiologic impairment, while the contralateral hand is neurophysi...

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Autores principales: Yalcinkaya, Merter, Akman, Yunus Emre, Bagatur, A. Erdem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4109127/
https://www.ncbi.nlm.nih.gov/pubmed/25105046
http://dx.doi.org/10.1155/2014/589021
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author Yalcinkaya, Merter
Akman, Yunus Emre
Bagatur, A. Erdem
author_facet Yalcinkaya, Merter
Akman, Yunus Emre
Bagatur, A. Erdem
author_sort Yalcinkaya, Merter
collection PubMed
description Carpal tunnel syndrome (CTS) usually presents bilaterally and a secondary nature should be suspected in patients with unilateral symptoms, especially those with a long-standing history, and when the symptomatic hand shows severe neurophysiologic impairment, while the contralateral hand is neurophysiologically intact. Space-occupying lesions are known to cause CTS and the incidence of space-occupying lesions in unilateral CTS is higher than that of bilateral CTS. It is easy to detect a mass when it is palpable; however, occult lesions are usually overlooked. Whenever a patient presents with unilateral symptoms and unilateral neurophysiologic impairment, the possibility of a space-occupying lesion compressing the median nerve should be kept in mind in the differential diagnosis. This study presents two cases with an occult ganglion in the carpal tunnel compressing the median nerve and causing unilateral symptoms of CTS. We stress on the importance of imaging studies in patients with unilateral symptoms that are usually not used in CTS. The reported patients were evaluated and magnetic resonance images revealed an intratunnel space-occupying lesion.
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spelling pubmed-41091272014-08-07 Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases Yalcinkaya, Merter Akman, Yunus Emre Bagatur, A. Erdem Case Rep Orthop Case Report Carpal tunnel syndrome (CTS) usually presents bilaterally and a secondary nature should be suspected in patients with unilateral symptoms, especially those with a long-standing history, and when the symptomatic hand shows severe neurophysiologic impairment, while the contralateral hand is neurophysiologically intact. Space-occupying lesions are known to cause CTS and the incidence of space-occupying lesions in unilateral CTS is higher than that of bilateral CTS. It is easy to detect a mass when it is palpable; however, occult lesions are usually overlooked. Whenever a patient presents with unilateral symptoms and unilateral neurophysiologic impairment, the possibility of a space-occupying lesion compressing the median nerve should be kept in mind in the differential diagnosis. This study presents two cases with an occult ganglion in the carpal tunnel compressing the median nerve and causing unilateral symptoms of CTS. We stress on the importance of imaging studies in patients with unilateral symptoms that are usually not used in CTS. The reported patients were evaluated and magnetic resonance images revealed an intratunnel space-occupying lesion. Hindawi Publishing Corporation 2014 2014-07-06 /pmc/articles/PMC4109127/ /pubmed/25105046 http://dx.doi.org/10.1155/2014/589021 Text en Copyright © 2014 Merter Yalcinkaya et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yalcinkaya, Merter
Akman, Yunus Emre
Bagatur, A. Erdem
Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases
title Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases
title_full Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases
title_fullStr Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases
title_full_unstemmed Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases
title_short Unilateral Carpal Tunnel Syndrome Caused by an Occult Ganglion in the Carpal Tunnel: A Report of Two Cases
title_sort unilateral carpal tunnel syndrome caused by an occult ganglion in the carpal tunnel: a report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4109127/
https://www.ncbi.nlm.nih.gov/pubmed/25105046
http://dx.doi.org/10.1155/2014/589021
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