A case of carpal tunnel syndrome (CTS) in a patient with persistence of the median artery is reported. The authors consider this rare condition as a possible cause of CTS. The persisting vessel may cause damage to the median nerve by either compression or ischemia. The latter pathogenesis is especially advocated when anastomotic connections between the median artery and the radial and ulnar arteries as well as the superficial palmar arch are poor. Two different clinical pictures are possible: an acute onset, after a thrombosis, or chronic impairment when the vessel is pervious. As treatment, the authors always recommend the decompression of the carpal tunnel and the dissection of the persisting artery; on the other hand they consider the excision of the vessel possible only when a sufficient anastomotic blood supply is ensured.
|Translated title of the contribution||Persistence of the median artery as possible cause of carpal tunnel syndrome|
|Number of pages||8|
|Journal||Rivista di Neurologia|
|Publication status||Published - 1980|
ASJC Scopus subject areas
- Clinical Neurology