Acute Carpal Tunnel Syndrome Secondary to Gout Flare and Outcomes at 18 Months After Open Carpal Tunnel Decompression

Acute carpal tunnel syndrome is a rare condition that requires immediate surgery. Although numerous causes have been described in the literature, only 7 reports of acute carpal tunnel syndrome secondary to gout have been reported, all with short follow-ups. We report, to our knowledge, the first case of carpal tunnel syndrome presenting with total anesthesia of the fingers innervated by the median nerve and complete recovery of the sensory and motor function after carpal tunnel decompression, with no recurrence at the 18-month follow-up. To prevent irreversible damage to the nerve, treatment should not be delayed.