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

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 o...

Full description

Bibliographic Details
Main Authors:	Richa D Jain, Lokesh Bathala, H K Anuradha, Sudhir K Kale, Guruprasad S Pujar, Man M Mehndiratta, Leo H Visser
Format:	Article
Language:	English
Published:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-04-01
Series:	Indian Journal of Radiology and Imaging
Subjects:	carpal tunnel mr angiogram persistent median artery thrombosis ultrasound
Online Access:	http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_423_19

id	doaj-4f3388d6512b402fab11508d72825b43
record_format	Article
spelling	doaj-4f3388d6512b402fab11508d72825b432021-07-20T00:04:04ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082020-04-01300222923210.4103/ijri.IJRI_423_19A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median arteryRicha D Jain0Lokesh Bathala1H K Anuradha2Sudhir K Kale3Guruprasad S Pujar4Man M Mehndiratta5Leo H Visser6Departments of Radiodiagnosis, Aster CMI Hospital, Bengaluru, KarnatakaDepartments of Neurology, Aster CMI Hospital, Bengaluru, KarnatakaDepartments of Neurology, Aster CMI Hospital, Bengaluru, KarnatakaDepartments of Radiodiagnosis, Aster CMI Hospital, Bengaluru, KarnatakaDepartments of Neurology, Aster CMI Hospital, Bengaluru, KarnatakaDepartment of Neurology, Janakpuri Super Speciality Hospital, New Delhi, IndiaDepartment of Neurology and Clinical Neurophysiology, St. Elisabeth Hospital, Tilburg, NetherlandCarpal 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.http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_423_19carpal tunnelmr angiogrampersistent median arterythrombosisultrasound
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Richa D Jain Lokesh Bathala H K Anuradha Sudhir K Kale Guruprasad S Pujar Man M Mehndiratta Leo H Visser
spellingShingle	Richa D Jain Lokesh Bathala H K Anuradha Sudhir K Kale Guruprasad S Pujar Man M Mehndiratta Leo H Visser A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery Indian Journal of Radiology and Imaging carpal tunnel mr angiogram persistent median artery thrombosis ultrasound
author_facet	Richa D Jain Lokesh Bathala H K Anuradha Sudhir K Kale Guruprasad S Pujar Man M Mehndiratta Leo H Visser
author_sort	Richa D Jain
title	A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery
title_short	A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery
title_full	A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery
title_fullStr	A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery
title_full_unstemmed	A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery
title_sort	rare cause of median neuropathy at the carpal tunnel: thrombosis of the persistent median artery
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
series	Indian Journal of Radiology and Imaging
issn	0971-3026 1998-3808
publishDate	2020-04-01
description	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.
topic	carpal tunnel mr angiogram persistent median artery thrombosis ultrasound
url	http://www.thieme-connect.de/DOI/DOI?10.4103/ijri.IJRI_423_19
work_keys_str_mv	AT richadjain ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT lokeshbathala ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT hkanuradha ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT sudhirkkale ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT guruprasadspujar ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT manmmehndiratta ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT leohvisser ararecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT richadjain rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT lokeshbathala rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT hkanuradha rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT sudhirkkale rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT guruprasadspujar rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT manmmehndiratta rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery AT leohvisser rarecauseofmedianneuropathyatthecarpaltunnelthrombosisofthepersistentmedianartery
_version_	1721294276176904192

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

Similar Items