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J Neurol Neurosurg Psychiatry 84:362 doi:10.1136/jnnp-2012-303792
  • Neurological pictures

Unilateral carpal tunnel syndrome secondary to lipomatosis of the median nerve

  1. Franco Bassetto1
  1. 1Department of Surgery, Clinic of Plastic Surgery, Padua University Hospital, Padua, Italy
  2. 2Department of Neurology, Vita-Salute San Raffaele University, Milan, Italy
  1. Correspondence to Dr Giorgio Giatsidis, Department of Surgery, Clinic of Plastic Surgery, Padua University Hospital, V floor Monoblocco ospedaliero, 2, Nicolò Giustiniani St, Padua I-35121, Italy; giorgio.giatsidis{at}gmail.com
  • Received 5 August 2012
  • Revised 25 September 2012
  • Accepted 29 September 2012
  • Published Online First 8 November 2012

An otherwise healthy 54-year-old right-handed woman referred to our clinic for a 6-year long history of untreated unilateral right carpal tunnel syndrome. No additional comorbidities, syndromes or a significant medical history were reported and no previous traumas to the affected forearm/hand could be recalled: in addition, anamnestic data showed no familial history or carpal tunnel syndrome or of other relevant neuropathies. The patient reported progressive deteriorating painful paresthesia (numbness, burning pain, gradual sensory loss) in the area innervated by median nerve and homolateral decreased grip strength. The symptoms significantly invalidated daily activities and her overall quality …

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