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Carpal tunnel syndrome in Lyme borreliosis
Author(s) -
Halperin John J.,
Volkman David J.,
Luft Benjamin J.,
Dattwyler Raymond J.
Publication year - 1989
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880120510
Subject(s) - carpal tunnel syndrome , medicine , wrist , median nerve , lyme disease , lyme borreliosis , carpal tunnel , borrelia burgdorferi , peripheral neuropathy , surgery , lyme , entrapment neuropathy , diabetes mellitus , virology , antibody , immunology , endocrinology
Neurophysiologic evidence of median nerve entrapment in the carpal tunnel was present in 25% of patients with late Lyme borreliosis. Sixty‐eight of 76 consecutive, prospectively studied patients with late Lyme underwent neurophysiologic testing. Nineteen reported intermittent hand paresthesias; 17 had neurophysiologically confirmed carpal tunnel syndrome. This was not consistently associated with clinically apparent wrist arthritis or with neurophysiologically evident peripheral neuropathy. We conclude that a significant proportion of patients with late Lyme borreliosis develop carpal tunnel syndrome.