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CC BY-NC-ND 4.0 · Indian J Plast Surg 2013; 46(01): 140-142
DOI: 10.4103/0970-0358.113735
DOI: 10.4103/0970-0358.113735
Case Report
Giant median nerve in bilateral carpal tunnel syndrome
Further Information
Publication History
Publication Date:
07 October 2019 (online)

ABSTRACT
We introduce a middle age healthy man with sequential bilateral carpal tunnel syndrome. At the surgery, we encountered a wide median nerve in both wrists. Although enlargement of median nerve in carpal tunnel has been well documented, 25 mm width of the nerve is a rare scene, underscoring that leaving the nerve under the unyielding pressure would lead to a fibrous atrophic median nerve.
- 1 Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J 2008;77:6-17.
- 2 Thatte MR, Mansukhani KA. Compressive neuropathy in the upper limb. Indian J Plast Surg 2011;44:283-97.
- 3 Viikari-Juntura E, Silverstein B. Role of physical load factors in carpal tunnel syndrome. Scand J Work Environ Health 1999;25:163-85.
- 4 Rempel D, Dahlin L, Lundborg G. Pathophysiology of nerve compression syndrome: Response of peripheral nerves to loading. J Bone Joint Surg Am 1999;81:1600-10.
- 5 Lundburg G, Myres R, Powel H. Nerve compression injury and increased endoneurial fluid pressure: A "miniature compartment syndrome". J Neurol Neurosurg Psychiatry 1983;46:1119-24.
- 6 Sud V, Freeland AE. Biochemistry of carpal tunnel syndrome. Microsurgery 2005;25:44-6.
- 7 Tucci MA, Barbieri RA, Freeland AE. Biochemical and histological analysis of the flexor tenosynovium in patients with carpal tunnel syndrome. Biomed Sci Instrum 1997;33:246-51.
- 8 Sommer C, Galbraith JA, Heckman HM, Myers RR. Pathology of experimental compression neuropathy producing hyperesthesia. J Neuropathol Exp Neurol 1993;52:223-33.
- 9 Mackinnon SE. Pathopysiology of nerve compression. Hand Clin 2002;18:231-41.
- 10 Abicalaf CA, de Barros N, Sernik RA, Pimentel BF, Braga-Baiak A, Braga L, et al. Ultrasound evaluation of patients with carpal tunnel syndrome before and after endoscopic release of the transverse carpal ligament. Clin Radiol 2007;62:891-4.