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NEUROLOGIC DISORDERS MASQUERADING AS CARPAL TUNNEL SYNDROME: 12 CASES OF FAILED CARPAL TUNNEL RELEASE
Author(s) -
Witt Jc,
Stevens Jc
Publication year - 2000
Publication title -
journal of the peripheral nervous system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1
H-Index - 67
eISSN - 1529-8027
pISSN - 1085-9489
DOI - 10.1111/j.1529-8027.2000.22-15.x
Subject(s) - carpal tunnel syndrome , medicine , syringomyelia , myelopathy , carpal tunnel , carpal tunnel release , entrapment neuropathy , surgery , physical medicine and rehabilitation , physical therapy , spinal cord , magnetic resonance imaging , radiology , psychiatry
We describe 12 patients with a diagnosis of carpal tunnel syndrome in whom carpal tunnel release was unsuccessful and another neurologic disorder was diagnosed subsequently. Final diagnoses included polyneuropathy, radiculopathy, motor neuron disease, spondylotic myelopathy, syringomyelia, and multiple sclerosis. Sources of error by the electromyographer and treating physician were identified. Care must be taken to avoid an inappropriate carpal tunnel operation when clinical or electrodiagnostic features are atypical.