Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Cortical Stroke in Parietal Lobe Misdiagnosed as Carpal Tunnel Syndrome

  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Ju, Chang-Il (Department of Neurosurgery, College of Medicine, Chosun University)
  • Published : 2007.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 56-year-old woman presented with the numbness and pain in the left hand in the 1st, 2nd and 3rd finger area that developed suddenly 7 days prior to admission. In nerve conduction velocity test, the deterioration of nerve conduction velocity as well as the reduction of the potential amplitude were detected. After diagnosis of carpal tunnel syndrome, the open median nerve release was performed. Nonetheless, the preoperative symptoms did not change. The magnetic resonance images [MRI] of brain revealed a cerebral infarction in sensoricortical area of parietal lobe. The patient was referred to the department of neurology, and after conservative treatment, her symptoms were improved.

Keywords

References

  1. Gellman H, Gelberman RH, Tan AM, Botte MJ : Carpal tunnel syndrome. An evaluation of the provocative diagnostic tests. J Bone Joint Surg Am 68 : 735-737, 1986 https://doi.org/10.2106/00004623-198668050-00015
  2. Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH : Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle Nerve 16 : 1392-1414, 1993 https://doi.org/10.1002/mus.880161220
  3. Jadoul M : Dialysis-related amyloidosis : importance of biocompatibility and age. Nephrol Dial Transplant 13 : 61-64, 1998 https://doi.org/10.1093/ndt/13.suppl_7.61
  4. Katz JN, Larson MG, Sabra A, Krarup C, Stirrat CR, Sethi R, et al : The carpal tunnel syndrome : diagnostic utility of the history and physical examination findings. Ann Intern Med 112 : 321-327, 1990 https://doi.org/10.7326/0003-4819-112-5-321
  5. Nathan PA, Takigawa K, Keniston RC, Meadows KD, Lockwood RS : Slowing of sensory conduction of the median nerve and carpal tunnel syndrome in Japanese and American industrial workers. J Hand Surg Br 19 : 30-34, 1994 https://doi.org/10.1016/0266-7681(94)90044-2
  6. Shim CS, Kim GK, Lim YJ, Kim TS, Rhee BA, Leem W : A Clinical Analysis of the Carpal Tunnel Syndrome. J Korean Neurosurg Soc 22 : 364-370, 1993
  7. Shiota E, Yamaoka K, Kawano O, Tasaka Y, Nakamoto M, Goya T : Surgical treatments for orthopaedic complications in long-term haemodialysis patients--a review of 546 cases over the last 8 years. Fukuoka Igaku Zasshi 89 : 261-276, 1998
  8. Stevens JC, Sun S, Beard CM, O'Fallon WM, Kurland LT : Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980. Neurology 38 : 134-138, 1988 https://doi.org/10.1212/WNL.38.1.134