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J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e124-e127
DOI: 10.1055/s-0032-1328959
DOI: 10.1055/s-0032-1328959
Case Report
Bilateral Mini-Open Decompression in the Treatment of Carpal Tunnel Syndrome Caused by Persistent Median Artery: Case Report
Further Information
Publication History
20 March 2012
01 July 2012
Publication Date:
15 March 2013 (online)
![](https://www.thieme-connect.de/media/jnlsa/2013S01/lookinside/thumbnails/10.1055-s-0032-1328959-1.jpg)
Abstract
Carpal tunnel syndrome (CTS) is a common peripheral entrapment neuropathy that is caused by increased pressure within the carpal tunnel resulting in a chronic process of median nerve ischemia and segmental demyelination. We report on a patient with bilateral patent persistent median artery (PMA) affected by typical symptomatic CTS who was treated by bilateral mini-open decompression with complete improvement. For PMA-associated CTS, standard decompression is considered the treatment of choice, whereas resection should be reserved for pathological PMA. Mini-open decompression can be an alternative, as we have verified in this first description.
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