Open Access
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(02): 229-232
DOI: 10.4103/ijri.IJRI_423_19
Case Report

A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery

Richa D Jain
Departments of Radiodiagnosis, Aster CMI Hospital, Bengaluru, Karnataka
,
Lokesh Bathala
Departments of Neurology, Aster CMI Hospital, Bengaluru, Karnataka
,
H K Anuradha
Departments of Neurology, Aster CMI Hospital, Bengaluru, Karnataka
,
Sudhir K Kale
Departments of Radiodiagnosis, Aster CMI Hospital, Bengaluru, Karnataka
,
Guruprasad S Pujar
Departments of Neurology, Aster CMI Hospital, Bengaluru, Karnataka
,
Man M Mehndiratta
Department of Neurology, Janakpuri Super Speciality Hospital, New Delhi, India
,
Leo H Visser
Department of Neurology and Clinical Neurophysiology, St. Elisabeth Hospital, Tilburg, Netherland
› Author Affiliations

Financial support and sponsorship Nil.
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Abstract

Carpal tunnel syndrome is a common peripheral nerve entrapment neuropathy caused due to compression of the median nerve at the level of the wrist joint. Bifid median nerve associated with a persistent median artery is a rare entity and in itself asymptomatic anatomical variant. However, distension of the persistent median artery due to a thrombus can be symptomatic due to compression on the median nerve and can compromise the blood flow to the palm. We report a case of persistent median artery thrombosis in a young female patient who presented with symptoms of carpal tunnel syndrome diagnosed on the ultrasonography and confirmed on the MRI with subsequent improvement post anticoagulation therapy.



Publication History

Received: 15 October 2019

Accepted: 05 March 2020

Article published online:
19 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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