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Bilateral acute carpal tunnel syndrome and hyperthyroidism: a case report
Author(s) -
Padua L.,
Monaco M.,
Gregori B.,
Tonali P.A.
Publication year - 1996
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.1996.tb00238.x
Subject(s) - medicine , carpal tunnel syndrome , wrist , neurophysiology , propranolol , sensory system , thyroid function , surgery , anesthesia , thyroid , neuroscience , psychiatry , biology
A 26‐year‐old man acutely developed bilateral sensory symptoms of carpal tunnel syndrome (CTS). Neurophysiological investigations confirmed the diagnosis of CTS with findings suggesting conduction block of sensory fibers. Endocrinological studies revealed a hyperthyroidism. He was treated with methimazole and propranolol with improvement of thyroid function. The neurophysiological and clinical follow‐up revealed a progressive improvement of CTS. The echography performed at wrist bilaterally failed to show any rough compressive factors in the carpal tunnel. The clinical, neurophysiological and endocrinological evolution suggest a relationship between hyperthyroidism and acute bilateral CTS.