Carpal Tunnel Syndrome - An Unusual Entrapment Neuropathy With Hypertensive Microvascular Insufficiency

Abstract

This case report envisages the significance of reviewing the age old carpal tunnel syndrome. A 48 year old male, manual laborer with no significant past history presented with complaints of numbness of both hands and bilateral  pedal edema of two years and 2 months duration respectively. On examination he was found to have high blood pressure, parasthesia of both hands, and finger grip of lesser strength on right compared to left. His routine investigations and thyroid function test were normal. Nerve conduction study revealed distal latency in bilateral median nerve and the patient was diagnosed as a case of carpal tunnel syndrome. On evaluating the response with medical management, the sequence of recovery proved that involvement of ulnar territory was an add-on to carpal tunnel syndrome proper and systemic hypertension supplements to its severity. The varying grades of severity and role of systemic hypertension can be a focus of study in carpal tunnel syndrome.