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Neurological pictures
Unilateral carpal tunnel syndrome secondary to lipomatosis of the median nerve
  1. Giorgio Giatsidis1,
  2. Fabio Giatsidis2,
  3. 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

https://doi.org/10.1136/jnnp-2012-303792

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    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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    Footnotes

    • Contributors Each listed author (GG, FG, FB) has substantially contributed to the conception and design, the acquisition, analysis and interpretation of data, the draft processing and the critical revision of the manuscript.

    • Funding None.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.